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  • Nursing role in the acute care setting

Nursing role in the acute care setting

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS Pulmonary edema REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem This results from increased pulmonary capillary hydrostatic pressure or decreased colloid osmotic pressure. Normally the two pressures are in balance. Health Promotion and Disease Prevention Accumulation of fluid in the extravascular spaces. Remain on diuretics if necessary Controlling blood pressure Eating heart healthy diet Frequent activity ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings - Crackles in the lungs persistent cough - Jugular vein distention - nasal flaring - wheezing - Tachycardia Pleural effusion Acute myocardial ischemia and infarction Arrhythmias - Hypertension - fluid overload - Left-sided heart failure - pneumonia Laboratory Tests Diagnostic Procedures ABG - WBC B-type natriuretic peptide Creatinine level Chest X- ray Echocardiography PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education - Respiratory and metabolic acidosis - Respiratory failure - cardiac or respiratory arrest - Pulmonary fibrosis - death - Monitor ABG, respiratory Supplemental rate, lung sounds,vital signs. oxygen Daily weights Diuretics I's and O's Digoxin - Report to health care provider if patient gain 2 Ib in 2 days - Advise to avoid alcohol - Educate about possible orathastic pressure Therapeutic Procedures Interprofessional Care Noninvasive positive - pressure ventilation Endotracheal intubation Mechanical ventilation Respiratory therapist - Cardiologist ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCED