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Simulation (COPD/Delirium) (Medication Rights (Patient, Dose, Time,…
Simulation (COPD/Delirium)
Privacy
Hand Washing
Cultural Preferences
Peak Flow
Before & After Salbutamol
Lung Auscultation
Asymmetry
Asymmetry can be felt by placing hands on the lower anterior back at the bottom of the individuals which then move thumbs inwards until they meet at the mid line
Crepitus can be assessed and is when there is crackling or popping in the joints.
Fremitus is the vibration of the chest wall and can be assessed by placing the palm of the hand and hyperextending the fingers to the patients chest
Auscultation
Vesicular sounds are low pitched and soft sounding
Bronchial sounds are high pitched and lund
Crackles are either fine or coarse
Wheezes are constant and high pitched
How to lung auscultation
Start at the apex of the lung which is above the clavicle
Then move to the 2nd intercostal space to assess the right and left upper lobes
At the 4th intercostal space you will be assessing the right middle lobe and the left upper lobe
Then midaxillary at the 6th intercostal space you will be assessing the right and left lower lobes
Salbutamol
Tachycardia, Dizziness, Thursh
Mechanism of Action: Stimulates beta 2 receptors in the lungs and stimulates bronchodilator, decreasing airway resistance
Vital Signs
Decrease WOB
Medication Rights
Patient
Dose
Time
Medication Route
Nebuliser
CO2 Retainer
The patients drive the breath is no longer high CO2, it is low oxygen, high flow oxygen will inhibit their drive to breathe