1. Linda S. Williams / Paula D. Hopper Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Chapter 29 Respiratory System Function, Assessment, and Therapeutic Measures

2. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Review of A&P

3. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Acid-Base Balance  Respiratory Acidosis  Hypoventilation  Respiratory Alkalosis  Hyperventilation

4. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Effects of Aging

5. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition History  Upper Respiratory Symptoms  Lower Respiratory Symptoms  Exposures/Smoking  Current Treatments  Family History

6. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition WHAT’S UP?  Where Is It?  How Does It Feel?  Aggravating and Alleviating Factors  Timing  Severity  Useful Other Data  Patient’s Perception

7. Understanding Medical Surgical Nursing, 4th Edition Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Inspection  Symmetry  Dyspnea  Use of Accessory Muscles  Color

8. Understanding Medical Surgical Nursing, 4th Edition Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Inspection (cont’d)  Respiratory Rate and Rhythm  Chest Shape

9. Understanding Medical Surgical Nursing, 4th Edition Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Palpation  Sinuses  Respiratory Excursion  Crepitus

10. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Percussion  Resonance  Hyperresonance  Dull  Flat

11. Understanding Medical Surgical Nursing, 4th Edition Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Auscultation  Normal Breath Sounds  Adventitious Sounds  Compare Bilaterally

12. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Adventitious Breath Sounds  Crackles—Coarse or Fine  Wheezes  Stridor  Friction Rub  Diminished  Absent

13. Understanding Medical Surgical Nursing, 4th Edition Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Laboratory Tests  CBC  ABGs  D -Dimer  Cultures  Sp O 2

14. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Diagnostic Tests  Chest X-Ray  CT Scan  VQ Scan  PFTs  Angiography  Bronchoscopy

15. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Therapeutic Measures  Behavior Modification  Counseling  Setting Quit Date  Nicotine Replacement  Drug Therapy  Hypnosis

16. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Therapeutic Measures (cont’d)  Deep Breathing and Coughing  Huff Coughing  Breathing Exercises

17. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Therapeutic Measures (cont’d)  Positioning  Fowler’s  Semi-Fowler’s  Good Lung Down

18. Understanding Medical Surgical Nursing, 4th Edition Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Oxygen Therapy  Nasal Cannula

19. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Oxygen Masks

20. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Transtracheal Oxygen

21. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition NMT

22. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition MDI

23. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Spacer

24. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Incentive Spirometer

25. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chest Physiotherapy

26. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Mucous Clearance Device

27. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chest Drainage  Indications  Chest Tube Insertion  Drainage System  Nursing Care

28. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chest Drainage System

29. Understanding Medical Surgical Nursing, 4th Edition Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Tracheostomy  Definition  Indications  Nursing Care  Suctioning  Cleaning  Communication  Teaching

30. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Passy-Muir Speaking Valve

31. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Intubation

32. Understanding Medical Surgical Nursing, 4th Edition Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Mechanical Ventilation  Invasive  Indications  Nursing Care  Trouble-Shooting Alarms

33. Understanding Medical Surgical Nursing, 4th Edition Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Noninvasive Positive Pressure Ventilation  Indications  Advantages  Nursing Care