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Respiratory Study Tips I

AB
Best position for breathing difficultiesSitting up leaning forward
Pursed-lip breathingCO2 removal
metered dose inhalerpuff and breathe in slowly; hold breath; wait one minute
Before giving antibioticssputum specimen collection
Normal after bronchoscopyblood tinged sputum
Abnormal afger bronchoscopystridor (abnormal anytime)
Maximum time for suctioning15 seconds
Prior to removal of trachsuction to clear airway
Normal for chest tubefluctuations (tidaling), bubbling if it was put in for air removal
Aminophyllineblood levels, take as directed, take on empty stomach
Device for most precise concentration of oxygenVenturi mask
Device for the highest concentration of oxygenNon-rebreather
Do this if you find crepitusMark the area and watch for extension of this area
Signs of kinked or blocked chest tubetachypnea, tachycardia, restlessness
Keep at bedside of trach patientTrach set next size smaller
Recording of chest tube drainageEvery shift record as output
Do this if chest tube drainage system is knocked overReplace with new one
When to suctionWhen necessary and not more often
Allen's test checks thisPatency of ulnar artery
Sputum order for TBAFB - acid-fast bacillus


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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