Question

CASE SCENARIO:

Patient Andres, 65 male living in an urban place of Metro Manila where there are many factories and different transportation vehicle both private and public. Patient Andres is a cigarette vendor he spend his time on the street to earn his own. During his early adulthood he suffered from asthma and managed by Ventolin, and Monteleukast. He stated to smoke in his early 20’s and consumed 1 pack a day for 30 years and quit smoking when he was 53. Whenever he feels difficulty of breathing. Plus the smoke from factory and vehicles that triggered most his condition and causes him to develop productive cough he is experiencing shortness of breath with wheezing, cyanosis, with slight fever and chills. He went a diagnostic procedure like chest x ray and blood test. His current maintenance is Ventolin, Prednisone and expectorant. Pulmonary function tests demonstrate decreased vital capacity. ABG impression: Respiratory Acidosis, Mr. Andres has a barrel chest, and sleep comfortably sitting and slightly leans on the table.

1. What advise can a nurse give to patient Andres to prevent further complication?

Answer 1

Advice given for the patient Andres to prevent complications are ,

* Advice to maintain adequate hydration.

* Advice the patient to minimize or avoid triggers.

* Educate the patient about deep breathing exercises and coughing.

* Educate the patient to use incentive spirometry - Incentive spirometry designed to help patients take long, deep breaths to gauge how well the lung expand. Because it requires deep breaths, it may improve a patient's ability to clear mucus from the lungs.

* Teaching patients about the risk factors associated with their specific respiratory condition.

* Advice the patient to take adequate calorie and Protein rich foods to meet the patients repiratory demands .

* Advice given about pulmonary rehabilitation home plan - sending patients home with an individualized home exercise plan, which may provide better exercise capacity, decrease dyspnoea and improve quality of life is critical for positive respiratory outcome.

* Encourage patients and family members- patient who have more engaged family members have improved outcomes.

* Advice the patient to be remain alert for critical changes in the respiratory, CNS and cardiovascular functions. Isnstruct the patient to report any changes and such dangers.

Thankyou ?