Saturday, September 23, 2006

#22

#22

Nusing Interventions for the client who is hyperventilating:

*Monitor rate, rhythm, depthm and effort of respirations.
*Monitor vital signs and cardiac rhythm.
*Evaluate pulse oximetry to determine oxygenation.
*Elevate head of bed/position client appropriately, provide airway adjuncts and suction as indicated to maintain airway.
*Encourage frequent position changes and deep breathing/coughing exercises.
*Provide supplemental oxygen at lowest concentration indicated by lab results and client symptoms/situations.
*Encourage adequate rest and limit activities to within client tolerance.
*Keep environment allergen/pollutant free to reduce irritant effect on airways.

Nurse's Pocket Guide 266-268
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1 comment:

Danielle Mathias-Lamb said...

From Cassie

Hyperventilation results from a lowered CO2 level (hypocapnia). It is a frequent finding in many disease processes such as asthma, metabolic acidosis, pulmonary embolism, pulmonary edema, and also in anxiety-induced states.
Treatment is directed at the underlying cause. Immediate therapy (interventions) in panic attacks consists of coaching the patient to slow down the breathing process to decrease the rate of blowing off CO2. One way to do this is to have the client breathe through only one nostril, with the mouth closed. Having the client breathe in and out of a paper bag is discouraged, as it leads to hypoxemia. After the acute phase of the hyperventilation has been managed, the underlying cause of the problem must be determined. (Tabers dictionary)

**From another source:
If hyperventilation is spontaneous, it is importance to determine the cause and treat it. Causes might include hypoxemia, pain, fear, anxiety, or compensation for metabolic acidosis. Patients who fight the ventilator or breathe out of synchrony may be anxious or in pain. It the patient is anxious and fearful, sitting with the patient and verbally coaching the patient to breathe with the ventilator may help. If these measures fail, manually ventilating the patient slowly with 100% O2 source may slow breathing enough to bring it in synchrony with the ventilator. (pg. 1786 Lewis)

7:11 PM

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