RNSG 2504 Care of the Patient with Common Health Care Needs
Unit IV – Care of the Patient Experiencing Commonly Occurring Health Problems
Part B -- Respiratory
1.
Behavioral Objectives
Apply the terms listed in the content
column appropriate to the patient
situations involving the respiratory
system.
I.
Content Outline
Application of terms
A. Bronchitis
B. Dyspnea
C. Hypercapnia (Hypercarbia)
D. Paroxysmal nocturnal dysnea (PND)
E. Polycythemia
F. Pulmonary toilet
G. Pulsus paradoxes
H. Sensoruim
I. Ventilation
J. Virus
2.
Compare and contrast the normal
anatomy and physiology to the
pathophysiology of selected commonly
occurring disease processes in the
respiratory system.
II. Anatomy & Physiology of Respiratory system
A. Developmental considerations
1. Infant
2. Child
3. Adolescent
4. Adult
5. Older adult
B. Pathophysiology of respiratory system
1. Impaired gas exchange
2. Immune/inflammatory process
3.
Analyze factors included in the
assessment of the patient experiencing
common occurring respiratory
problems, including the developmental
and cultural considerations.
III. Selected commonly occurring problems
A. Interview
1. Chief complaint
2. Precipitating event
3. Medical history
4. Family/ Social/occupational history
5. Medication history
1. Prescription
2. Nonprescription
6. Knowledge of health maintenance
7. Risk factors
Clinical Objectives
Learning Opportunities
Readings:
McKinney
Lewis
Berman & Snyder
Adams
Estes
TVCC Library – Nursing Education on
Video
http://tvcc.ent.sirsi.net/client/tvcclibraries
Anti-Infective Medication Therapy:
Antifungal and Antiviral Agents
Anti-Infective Medication Therapy:
Assessment of an Infection
Anti-Infective Medication Therapy:
Cephalosporins, Aminoglycosides,
Macrolides and Quinolones
Anti-Infective Medication Therapy:
Nursing Implications
Anti-Infective Medication Therapy:
Sulfonamides and Penicillins
Assessment of Respiratory Distress in the
Pediatric Patient
Tuberculosis: New Strategies for the
Healthcare Worker
The Basics of Oxygen Administration
VCR:
#1158 – Asthma, Emphysema, &
Chronic Bronchitis
#1187 – Preventing Nosocomial
Infections
#1188 – Infection
RNSG 2504 Care of the Patient with Common Health Care Needs
Unit IV – Care of the Patient Experiencing Commonly Occurring Health Problems
Part B -- Respiratory
Behavioral Objectives
.
Content Outline
B. Physical exam – respiratory
1. Breathing pattern (rate, depth,
rhythm, effort, symmetry)
2. Breath sounds
3. Color (central & peripheral)
4. Cough & sputum
5. Activity level
6. Capillary refill
7. Chest pain
8. Nasal flaring, chest retractions
9. Nails (clubbing)
C. Diagnostic tests
1. Radiology
1. Chest x-ray
2. Laboratory studies
1. Complete blood count (CBC)
(1) Electrolytes
(2) Culture & sensitivity
(3) Sputum
(4) Peak and trough
3. Other
1. Pulmonary function test
2. Pulse oximeter
D. Risks
1. Cultural influences
2. Hereditary
3. Environmental
4. Health beliefs/practices
5. Developmental
(1) Age specific assessment data
(a)
(b)
(c)
(d)
Vital signs
Fluid /electrolytes
Nutritional
Behavioral/emotional
response to health care
providers
Clinical Objectives
Learning Opportunities
CD-ROM
# 4085 – Intermediate &Advanced Skills
Nursing Skills – Respiratory
Management
# 4088 – Critical Care Nursing Skills –
Crisis Elimination
Neurological
Respiratory
# 4092 – Pediatric Nursing Skills –
Elimination
Cardio Respiratory
Airway Clear
#6009 – The Respiratory System
RNSG 2504 Care of the Patient with Common Health Care Needs
Unit IV – Care of the Patient Experiencing Commonly Occurring Health Problems
Part B -- Respiratory
Behavioral Objectives
Content Outline
4.
Differentiate between the etiology,
pathophysiology, and clinical
manifestations of selected commonly
occurring respiratory disease
processes including immune –
inflammatory process.
IV. Common Occurring Respiratory Problems
A. Respiratory
1. Asthma
2. Upper respiratory infection
1. Colds
3. Lower respiratory infection
1. Pneumonia
2. Bronchitis
5.
Discuss analysis, planning,
implementation, and evaluation for the
nursing management of patients with
commonly occurring respiratory
disease processes.
V. Selected Nursing Diagnoses/Implementation/
Evaluation
A. Impaired gas exchange
1. Independent Interventions
1. See respiratory assessment
2. Pulmonary toilet
3. Positioning for maximum
ventilation
4. Energy conservation measures
5. Breathing techniques
6. Monitor pertinent diagnostic
tests
7. Decrease sputum viscosity
8. Allergen control
9. Avoid cigarette smoke
10. Turn, cough and deep breathe
2. Collaborative interventions
1. Oxygen support
2. Collaborate with respiratory
therapy
(1) Aerosol therapy
(2) Chest physiotherapy with
postural drainage
(3) IPPB
(4) Mist tent
Clinical Objectives
Learning Opportunities
RNSG 2504 Care of the Patient with Common Health Care Needs
Unit IV – Care of the Patient Experiencing Commonly Occurring Health Problems
Part B -- Respiratory
Behavioral Objectives
Content Outline
Administer medications and
monitor for desired/adverse/side
effects
(1) Bronchodilators
(2) Corticosteroids
(3) Antibiotics
(4) Mast cell inhibitors
(5) Leukotrienes
(6) Anticholinergics
(7) Epinephrine
Recognition of complications
1. Atelectasis
2. Pneumothorax
3. Respiratory failure
4. Pulmonary hypertension
5. Status asthmaticus
Evaluation of Outcomes: The patient
will have improved gas exchange as
evidenced by:
1. Breathing pattern
2. Level of consciousness
3. Vital signs
4. Color
5. Cough /sputum
6. Activity tolerance level
7. Pulse oximeter
Clinical Objectives
Learning Opportunities
3.
3.
4.
N/ADN Syllabus/ RNSG 2504 Unit IV Part B
Revised 11/12