The patient complains of an asthma attack.
The patient complains of an asthma attack. HE made 8 inhalations from a pocket inhaler “Berotek” and his condition did not improve. What are nurse’s actions Continue using the pocket inhaler Give the patient oxygen inhalation for 15-30 minutes Establish a continuous inhalation of oxygen through a nasal catheter Call the doctor Provide oxygen inhalation with defoamers Contraindications to inhalation therapy are: Cough Asthma attack Hemoptysis Shortness of breath “Whizzing” breath When oxygen was supplied through a nasal catheter, the patient developed irritation in the nose and nasopharynx. Nurse action? Stop oxygen administration Call a doctor Temporarily stop the introduction of oxygen, drip oil drops into the nose Continue oxygen administration Reduce oxygen supply rate The oxygen pressure in the cylinders is 100atm. 150 atm. 20 atm. 50 atm. 200 atm. Find an error in the algorithm of actions when using a pocket inhalation Remove the cap and turn the inhaler upside down Shake the inhaler The patient should breathe slowly Propose the patient to tightly cover the mouthpiece of the inhaler with his lips The patient should take a deep breath out and at the same time press the bottom of the inhaler, hold his breath The patient is given humidified oxygen through a nasal catheter for a long period. After what period of time should a break be taken 1-2 hours 3-4 hours 20-30 minutes 30-40 minutes No break required What oxygen content in the oxygen-air mixture eliminates the state of tissue hypoxia 70% 50% 30% 90% 25% Indications for oxygen therapy combined with inhalation of defoamers a Respiratory failure Right ventricular heart failure Pulmonary edema Asthma attack Cough attack General therapeutic bath is assigned to the patient. To what level can a patient be immersed in water? Before the umbilicus Before the level of the heart area Before the handle of the sternum Before the xiphoid process Before the level of the costal arch The patient uses a pocket inhaler What are his actions: presses the bottom of the inhaler and inhales the aerosol from a distance. takes a breath and then presses the bottom of the inhaler. presses the bottom of the inhaler and at the same time takes a breath with his mouth open covers the mouthpiece tightly with his lips, takes a deep breath and at the same time presses the bottom of the inhaler. presses the bottom of the inhaler and exhales The patient is given humidified oxygen through a nasal catheter. What is the oxygen delivery rate? * 5 points 2-3L/min. 4-6 l / min. 5-8 l / min. 1-2L/min. 8-10L/min Which is the most COMMON and non-invasive way to measure a patient’s oxygenation? ventilator arterial blood gas (or ABG) CPAP pulse oximeter What is used as a defoamer in oxygen therapy 40 degree of ethyl alcohol 96 degree of ethyl alcohol 70 degree of ethyl alcohol Methyl alcohol 30 degree of ethyl alcohol During the electoral procedure, the patient suddenly developed constricting pains in the region of the heart, palpitations. What should the nurse do? * Stop the procedure. Inject cordiamine and continue the procedure. Call a doctor, and continue the procedure until he arrives. Give a sniff of cotton wool with ammonia. Give the patient Corvalol and continue the procedure. A patient in the intensive care unit is given oxygen through a nasal catheter into the right nasal passage. Nurse actions Change the position of the catheter into the other nasal passage every 30-40 minutes Change the position of the catheter into the other nasal passage every 10-20 minutes Change the position of the catheter to a different nasal passage every 1-1.5 hours Change the position of the catheter in the other nasal passage every 2-3 hours Do not change the position of the catheter A nurse gives oxygen therapy to a patient using a mask. Find a mistake in the actions of a nurse. * Prepares oxygen supply humidification The oxygen supply mask is pressed tightly against the patient’s mouth. Keep mask away from patient’s mouth Monitors the patient’s breathing Regulates the rate of oxygen supply with a tap The patient is prescribed inhalation of medicines through a thermal inhaler. The nurse must heat the water in it to: 100C 80C 50C 40C 30C During the general therapeutic warm bath, the patient turned pale, complains of headache, heartache, dizziness. The pulse is 110 per minute, small, soft, the number of breaths is 24 per minute. What should the nurse do? Gives the patient to smell ammoniacal alcohol Gives the patient valocordin drops Gives the patient oxygen Urgently stops the procedure, calls a doctor Lowers the bath temperature The patient is prescribed for inhalation of medicines using a steam inhaler. When the procedure needs to be carried out 30 minutes after eating 1-1.5 hours after eating 2 hours after eating Before meals Connection with food intake does not matter The patient suffers from bronchial asthma. He is being treated in the pulmonology department for bronchial asthma. Complains of an asthma attack. What are the nurse’s actions? Gives the patient a sniff of ammonia Gives the patient drops of valocordin Gives the patient oxygen through the Bobrov apparatus Uses a pocket inhaler with the drug “Salbutamol” Calls a resuscitator
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