general questions i need help with.

[MissDilini]

*If a patients oximetry is low do u increase or decrease ventilation vice versa.

*And if someone has imapired breathing eg. bronchitis, cough, fast resps eg do u elavate the patient. eg elevate head or leave them flat or on side.

If a pt has a prominent accent but can speak limited english would u request an interpreter.

Thanks

[ShantheRN, BSN, RN]

Psst.....just a friendly word of advice - it might be helpful if you offer up what you think the correct response is, along with a rationalization for it.

People tend not to spoon feed answers here - myself included! That's why I love this board so much :)

[MissDilini]

i honestly dont know... That is why i need some help! I want to learn this.

Im just 3 months into my course on tues. I've read about what it is(oximetry in the level of oxygen in the blood) but that is all.

Haha really maybe i should visit this board more often then:P ( joking..:))

Thanks

[DolceVita, ADN, BSN, RN]

As far as the interpreter:

1) A prominent accent is not a reason to get an interpreter and would be offensive.

2) How do you define "limited" English?

3) Can they understand you?

4) Can you get the information you need to assess this patient and provide for their needs?

As long as it is not the "accent" that is the problem you can always ask the patient if they would like an interpreter.

I know very little about ventilators -- but I don't think you are talking about ventilators. Are you actually talking about increasing ventilation or are you talking about increasing the O2 flow? If yes it would depend on the patients diagnosis and YOUR ASSESSMENT. You should go read about the hypoxic drive theory.

Do you really mean impaired breathing? Sounds like you are referring to something like ineffective airway clearance and/or ineffective breathing pattern. There are a number of interventions. Yes, raising the HOB is one. Sometimes a patient like that may wish to sit up and make a tripod by leaning forward onto their knees.

If a patient is on O2 they probably have an O2 saturation target. Also, you will learn later on about how hemoglobin affects O2 levels (false highs).

Have a look at the link below. If you click on either ineffective breathing pattern or ineffective airway clearance you will see a host of nursing interventions.

Again, back to the accent, when I have a pt with a heavy accent I tend to need to listen much better and ditch distractions. The more accents you hear the better you ear will be for them.

Hope all that helps a little. I am off for more coffee.

[RNTutor, BSN, RN]

I agree with Dolce Vita (although I think you forgot to post the links you mentioned!)

The other thing to keep in mind about pulse ox and increasing O2 is that you really do need to assess what might be causing the low O2 saturation. For example, if it is ineffective airway then simply increasing O2 might not be as helpful as teaching the pt how to cough effectively to clear secretions.

[CBsMommy]

Have you tried to look up some of this information for yourself? You have 4 posts asking for answers to questions, one about a Kardex, which if you google it, will come right up. How are you supposed to learn if you don't look the answers up yourself? FYI: This is not trying to be snotty but a serious question for you to think about.

[DolceVita, ADN, BSN, RN]

Have you tried to look up some of this information for yourself? You have 4 posts asking for answers to questions, one about a Kardex, which if you google it, will come right up. How are you supposed to learn if you don't look the answers up yourself? FYI: This is not trying to be snotty but a serious question for you to think about.

I just worked out that many of the threads I have been posting have been the same person. So I completely agree.

The Kardex was a bit rich (it is also in nearly every 1st year nursing book).

To the OP -- the link I forgot to post is:

Evolve: Ackley: Nursing Diagnosis Handbook, 7th Edition - Care Plan Constructor