Mucosal Oedema Lab Report

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

The presence of fluid in the alveolar space could potentially cause the lung capacity to be effected as well.

The respiratory system is a complex organ structure of the human body anatomy, and the primary purpose of this system is to supply the blood with oxygen in order for the blood vessels to carry the precious gaseous element to all parts of the body to accomplish cell respiration. The respiratory system completes this important function of breathing throughout inspiration. In the breathing process inhaling oxygen is essential for cells to metabolize nutrients and carry out some other tasks, but it must occur simultaneously with exhaling when the carbon dioxide is excreted, this exchange of gases is the respiratory system's means of getting oxygen to the blood (McGowan, Jefferies & Turley, 2004).

Throughout my clinical rotation, the only concern for this patient was pain management and discomfort from the chest tube site. The patient was given Ketorolac for a pain of 4/10 using the numeric pain sale. The patient was also at risk for pneumonia and pressure ulcers from immobility and not coughing/deep breathing. Nursing interventions were getting the patient up to the chair and using the incentive spirometer ten-times per hour. Another concern was SOB and fatigue with activities.

The mucous membrane lines the nasal cavity that has pseudo stratified ciliated epithelium richer mucus- secreting goblet cells. These include a more extensive network of blood vessels and appear pink. Heat is radiated over the membrane when air passes over it from blood and warms the air, changing the temperature of the body. Evaporation of water from the mucous lining moistens the air during the same time. Sticky mucus is secreted by mucous membranes that entrap dust and other particles that enter the

Discuss the roles of medications, ICS for long term anti-inflammatory effect and Beta adrenergic for immediate bronchial dilation.

Imaging: High resolution CT scan of the chest dated July 2015, which was compared, to a previous CT in 2013 shows extensive interstitial disease with honeycomb pattern, right lung greater than left with associated bronchial wall thickening. There seems to have been significant progression since 2013.

B.T. has a nursing diagnosis of ineffective airway clearance that requires nurse management with prescribed beta 2 adrenergic agonists, and teaching effective coughing and breathing techniques. The respiratory therapist will assist by performing nebulizer treatment and teaching the patient about home nebulizer. The nurse will emphasize on the importance of adhering to medication regimen and taking the right medication at the right time.

movement of water in tissues and maintain the fluidity of mucus and other secretions [3].

-identify and avoid specific factors that inhibit effective airway clearance by the end of the shift.

Necrosis of the cells in the small, lower airways occurs, and mucous secretions are increased (Conquest, Cremonesini, & Neill, 2013). Because of the ciliary damage in the infants’ lungs, it is almost impossible for the secretions to be cleared. Bronchiolar level obstruction is caused by these mucosusal secretions, as is desquamation of the dead skin cells and edema (Conquest, Cremonesini, & Neill, 2013). Plugs of soughed, necrotic epithelium and fibrin in the airways will cause partial or total obstruction to airflow, making it very difficult for he infant to exhale which will consequently result in air becoming trapped and will reduce gaseous exchange (Conquest, Cremonesini, & Neill, 2013).

On examination today there was a relatively dry nasal pack in the left nostril, which I

Nose and mouth warm and moisten the air that travels through them. It also helps with clearing out mucus secretion. Exclusion of the nose and mouth means a buildup of secretion in the oxygen cap. So, it is crucial to suction out secretions and clear the inner cannula carefully for any blockage or build up. Nurses have a huge responsibility when it comes to tracheostomy. They have to keep it clean, clear out secretions and care for surrounding tissue. They also have to consider about providing the individual with some way of

Now further evaluation is needed and a change in treatment. According to Tofts, P.H., Oliveira, E., and Ferrer, G. (2011), UACS (formerly known as postnasal drip) is due to chronic upper

Tracheostomys may be required for long term control of excessive bronchial secretions, particularly in those with reduced consciousness or to maintain an