Chapter 30 Nursing Care of Patients with Upper

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Chapter 30 Nursing Care of Patients with Upper Respiratory Disorders

Chapter 30 Nursing Care of Patients with Upper Respiratory Disorders

Epistaxis § Most common cause dry, cracked, mucous membranes § Trauma- nose picking, forceful

Epistaxis § Most common cause dry, cracked, mucous membranes § Trauma- nose picking, forceful blowing § Hypertension-increased pressure on fragile capillaries § Hemophilia- reduced clotting ability § Medications- aspirin, anticoagulants

Therapeutic Interventions § Positioning- lean forward § Direct Pressure § Ice § Nasal Packing

Therapeutic Interventions § Positioning- lean forward § Direct Pressure § Ice § Nasal Packing § Nasal Balloon Catheter § Vasoconstrictive Agent § Electrocauterizing

Nasal Packing

Nasal Packing

Nasal Polyps § Usually Benign § Occur More Often with Allergies § Treatment §

Nasal Polyps § Usually Benign § Occur More Often with Allergies § Treatment § Control Allergies § Surgery § Avoid Aspirin Post-op

Deviated Septum § Symptoms § Stuffy Nose § Blocked Sinus Drainage § Headaches §

Deviated Septum § Symptoms § Stuffy Nose § Blocked Sinus Drainage § Headaches § Treatment § Nasoseptoplasty

Nursing Care Post Nasoseptoplasty § Monitor Vital Signs/Bleeding § Report Excess Swallowing- excess bleeding

Nursing Care Post Nasoseptoplasty § Monitor Vital Signs/Bleeding § Report Excess Swallowing- excess bleeding § Monitor Dressing- nasal packing/mustache § Teach § Avoid sneezing, coughing, or straining § Avoid Aspirin

Sinusitis § Inflammation of Sinus Mucosa § Bacterial § Allergic § Signs and Symptoms

Sinusitis § Inflammation of Sinus Mucosa § Bacterial § Allergic § Signs and Symptoms § Pain Over Affected Sinus § Fever § Nasal Discharge

Therapeutic Interventions § Saline Irrigation Corticosteroids § Decongestants § Hot Packs § Acetaminophen/ Ibuprofen

Therapeutic Interventions § Saline Irrigation Corticosteroids § Decongestants § Hot Packs § Acetaminophen/ Ibuprofen § § § Humidification Oral Fluids Positioning Antibiotics Surgical Drainage

Infectious Disorders § § Rhinitis Pharyngitis Laryngitis Tonsillitis

Infectious Disorders § § Rhinitis Pharyngitis Laryngitis Tonsillitis

Prevention of Influenza § Yearly Vaccination § At-risk Individuals § Health-care Workers § Handwashing

Prevention of Influenza § Yearly Vaccination § At-risk Individuals § Health-care Workers § Handwashing § Avoidance of Infected People

Influenza § Signs and Symptoms § § § § Fever Chills Myalgia Sore Throat

Influenza § Signs and Symptoms § § § § Fever Chills Myalgia Sore Throat Cough Malaise Headache § Therapeutic Interventions § § § Acetaminophen Avoid Aspirin Antiviral Agents Rest Fluids

New Viruses § § Bird Flu SARS Swine Flu (H 1 N 1) West

New Viruses § § Bird Flu SARS Swine Flu (H 1 N 1) West Nile

Nursing Diagnoses: Upper Respiratory Infection § Impaired Comfort § Hyperthermia § Risk for Infection:

Nursing Diagnoses: Upper Respiratory Infection § Impaired Comfort § Hyperthermia § Risk for Infection: Transmission to Others

Cancer of the Larynx § Pathophysiology § Primary Tumor of Mucosal Epithelium § Metastasizes

Cancer of the Larynx § Pathophysiology § Primary Tumor of Mucosal Epithelium § Metastasizes to Lungs, Liver, Lymph Nodes § Etiology § Associated with Smoking, Alcohol § More Common in Men

Signs and Symptoms § § § Hoarseness Change in Voice Pain Dyspnea Dx: Laryngoscopy,

Signs and Symptoms § § § Hoarseness Change in Voice Pain Dyspnea Dx: Laryngoscopy, CT MRI § Cough § Dysphagia § Airway Obstruction

Therapeutic Interventions § Radiation § Chemotherapy § Laryngectomy

Therapeutic Interventions § Radiation § Chemotherapy § Laryngectomy

Postoperative Nursing Diagnoses § § § § Ineffective Airway Clearance Acute Pain Impaired Verbal

Postoperative Nursing Diagnoses § § § § Ineffective Airway Clearance Acute Pain Impaired Verbal Communication Imbalanced Nutrition Impaired Swallowing Grieving Disturbed Body Image

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