In: Nursing
a nurse is caring for a child who has cystic fibrosis and requires postural drainage. which of the action should the nurse take?
Cystic fibrosis is multi organ dysfunction causes lung dysfunction. Most common death from cystic fibrosis is pulmonary dysfunction. Postural drainage is a type if chest physiotherapy used to treat the children with cystic fibrosis.
. Bronchodialator should taken prior postural drainage to open airway.
Postural drainage utilized the patient position to facilitate the removal of secretion with gravity. In children modified postural drainage position (without head down tilt)are used that do not involve any head down position. It help to prevent the development of GERD(gastroesophageal reflux disease )
Auscultation the chest to determine the area to be needed drainage
Administration of pain relief and explain procedure
Position the patient with the affected lung segment positioned upper most, utilises pillows to maintain patient's position.
Encourage cough or suction to clear airway
Monitor HR, RR and SPO2.
Discontinued postural drainage if tachycardia, dyspnea or hypoxia.