Christina0985

Christina0985's Latest Activity

1. 

   Pneumonia case study interventions

   Christina0985 replied to *M_o_n_i_c_a*'s topic in Student Assist

   I pondered chest physiotherapy but thought that was something to be referred to the specialist and ended up on the humidified oxygen to liquify his mucociliary secretions. Hopefully, with enough support via references I can pull this off. Theres no right answer which makes it difficult. Good luck.

   • Apr 27, 2010
   • 5 replies
2. 

   Pneumonia case study interventions

   Christina0985 replied to *M_o_n_i_c_a*'s topic in Student Assist

   Further to my previous post, for the ineffective airway clearance im going to go with administering humidified O2 as this will help liquify his secretions making them easier to expectorate. The study says he already has a cough so cough enhancement isnt neccessary - the cough he has atm obviously isnt productive and the humidified O2 will help make it productive. Success of this is pretty obvious, vitals will return to normal, less audibkle inspiratory wheeze if any and sputum production. As with the second problem I chose, im now thinking i should have gone with impaired gas exchange which is annoying as ive already done my fluid vol deficit. Again....good luck. Hope u get to see these posts before the assign is due.

   • Apr 27, 2010
   • 5 replies
3. 

   Pt with Pneumonia - Interventions

   Christina0985 posted a topic in Student Assist

   Hi Guys, I am currently working on a case study. Derek Smith, a 75-year-old male, has been admitted to the medical ward with pneumonia. He has been feeling generally unwell and coughing for the past two weeks. When you come in to see him, he is sitting up in bed. Mr Smith has an audible inspiratory wheeze. Other clinical data include: Temperature: 38.5 0C, Respiration rate: 24 breaths/min, Oxygen saturation: 95% on Oxygen mask 5L/min, skin colour: pink. My problems ive chosen to work with are Ineffective Airway Clearance and Risk of a fluid volume deficit related to dyspnoea and fever (most ppl tend to be going with ineffective airway clearance and impaired gas exchange which is making me doubt my problems ive chosen, however if i back them up well enough, I dont see the problem). The interventions I was going to work with are cough enhancement for airway clearance (as I think this is the priority to improve airway patency. Have taken into account the ABC) but I also know that hydration, high humidity ventilation and chest physiotherapy are also important. So any ideas on whether im on the right track with cough enhancement or not?? And for Risk of Fluid volume deficit ive gone with monitoring fluid input and output. Am I likely to be on the right track here? Any help would be appreciated as evidence based literature is scarce.

   • Apr 27, 2010
   • 1 reply
4. 

   Pneumonia case study interventions

   Christina0985 replied to *M_o_n_i_c_a*'s topic in Student Assist

   Hi, Looks like we are both doing Health Alt 1 at QUT. I went for Ineffective Airway Clearance and Risk for fluid volume deficit related to dyspnoea and fever. Ive had trouble finding evidence based literature too. And ive found nothing at all to support my interventions (esp patient specific data). Medline seems to be the best database. And any High Acuity nursing text might help as it has some case studies that help you determine your interventions. I dont know what intervention to go for with ineffective airway clearance yet but ive gone with monitoring fluid input and output for the volume deficit one as hydration will help replace fluids lost via kidneys, skin, increased resp rate and fever (which derek has)...and it also helps decrease viscosity of mucus therefore aiding in breathing and expectoration of mucus. But anyway, let me know what intervention you go with for airway clearance. I was thinking cough enhancement but I would have gone with pain relief but the case study is very vague. I dunno....good luck and hope this helps a tiny bit.

   • Apr 27, 2010
   • 5 replies