Administering medications for patients with problems relate - PowerPoint Presentation

Administering medications for patients with problems relate
Administering medications for patients with problems relate

Administering medications for patients with problems relate - Description


respiratory system OUTLINE Sputum collection and Examination Use of MDI Nebulization therapy Collection of sputum Early morning deep cough sample is preferred samples should be immediately transported to ID: 477099 Download Presentation

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nebulization patients sputum therapy patients nebulization therapy sputum respiratory nebulizer inhalation patient medications infection medication asthma copd drug amp

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Slide1

Administering medications for patients with problems related to respiratory system Slide2

OUTLINE

Sputum collection and Examination Use of MDI

Nebulization therapy Slide3

Collection of sputum

Early

morning, deep cough sample is preferred

samples

should be immediately transported to

laboratory

The

sputum sample is obtained by having the patient:

rinse the mouth with water to minimize contamination by normal oral flora

breathe deeply several

times

cough deeply

expectorate the raised sputum into a sterile container.Slide4

invasive procedures used to collect specimens

Sputum

may be obtained by :

nasotracheal

or orotracheal suctioning with a sputum trap or by fiberoptic bronchoscopy

Bronchoscopy for

patients with acute severe infection, patients with chronic or refractory infection, or immunocompromised patients when a diagnosis cannot be made from an expectorated or induced specimen.Slide5

metered-dose inhaler (MDI)

a

device that delivers a specific amount of medication to the lungs, in the form of a short burst of aerosolized medicine that is usually self-administered by the patient via inhalation.

It

is the most commonly used delivery system for

treating 

asthma

, chronic obstructive pulmonary disease (COPD) and

other respiratory

diseases. The medication in a metered dose inhaler is most commonly a bronchodilator, corticosteroid or a combination of both for the treatment of asthma and COPD. Slide6
Slide7

Nebulization Therapy

DEFINITION

is the process of medication administration via inhalation. It utilizes a nebulizer which transports medications to the lungs by means of mist inhalation.

a nebulizer

is a small device that can convert a drug from a solution into an aerosol form by means of a compressor/compressed gas source.

Nebulization creates a mist of drug particles that can be inhaled via a face mask or mouthpiece

soothing THE inflamed airways

Bronchodilators

are the most common

nebulized

drugs but many others can be

nebulized

, including steroids and antibiotics. Slide8

Nebulization Therapy

 PURPOSE

 TO ADD MOISTURE TO OXYGEN DELIVERY SYSTEM

TO HYRDATE THICK SPUTUM AND PREVENT MUCUS PLUGGING

TO ADMINISTER VARIOUS DRUGS TO THE AIRWAYSSlide9

MEDICATIONS ADMINISTEREDvia Nebulizer

  

bronchodilators (for example, salbutamol),

anticholinergics (for example, ipratropium bromide),

corticosteroids (for example, beclometasone

)

normal

saline.Slide10

Indication of Nebulization

Nebulization therapy is used to deliver medications along the respiratory tract and is indicated to various respiratory problems and diseases such as:

Bronchospasms

Chest tightness

Excessive and thick mucus secretions

Respiratory congestions

Pneumonia

Atelectasis

AsthmaSlide11

Contraindications

In some cases, nebulization is restricted or avoided due to possible untoward results or rather decreased effectiveness such as:

Patients with unstable and increased blood pressure

Individuals with cardiac irritability (may result to dysrhythmias)

Persons with increased pulses

Unconscious patients (inhalation may be done via mask but the therapeutic effect may be significantly low)Slide12

Equipment

Nebulizer and nebulizer connecting tubes

Compressor oxygen tankMouthpiece/mask

Respiratory medication to be administered

Normal saline

solutionSlide13

Possible effects and reactions after nebulization therapy

Palpitations

TremorsTachycardia

Headache

Nausea

Bronchospasms (too much ventilation may result or exacerbate bronchospasms

)Slide14

CAUTION

 Patients with COPD should have

nebuliZers driven by air (BMA/RPSGB, 2007).

 

Patients

with acute asthma should have nebuliZers driven by oxygen (usually 6-8l/min

 

If

a patient with glaucoma is to receive an anticholinergic drug such as ipratropium bromide, a mouthpiece is preferred as this reduces the leakage of

nebulised

solution into the eyes (Porter-Jones, 2000).

 

Compressors should be serviced on a regular basis according to local policy. Local infection control procedures should be followed to

minimiZe

the risk of cross infection.

 Slide15

Nurse’s roles

1. Closely monitor all clients receiving bronchodilators for signs of increased heart rate, nervous agitation and restlessness

2. Patient Teaching

proper

way of doing the therapy to facilitate effective results and prevent complications (demonstration is very

useful

Emphasize

compliance to therapy

report

untoward symptoms immediately for apposite intervention.Slide16

References

Kozier & erbs fundamentals of nursing. Eighth ed.

Craven & hirnle. Fundamentals of nursing. Human health and function. Lippincott & Williams. Fourth ed.

Nursing crib

Shom More....
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By: sherrill-nordquist
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