Give the Definition, Purpose, Equipment. For the Procedure provide…

Question Answered step-by-step Give the Definition, Purpose, Equipment. For the Procedure provide… Give the Definition, Purpose, Equipment.For the Procedure provide each number of RationalePOSTURAL DRAINAGEDEFINITION:PURPOSE:EQUIPMENT:PROCEDURE:1.   Washhands.2.  Organize equipment.3.  Explain procedure to patient and family.4.  Administer bronchodilators, expectorants, or warm liquids if ordered.5.  Encourage patient to void.6.  Loosen any tight clothing and auscultate breath sounds.7.  Position patient to drain upper lung segments/lobes:● Sittingupright in bed or chair—targets right and left chest.● Leaningforward in sitting position— targets back.● Lyingflat on back—targets right and left chest.Lyingon abdomen, tilted to right or left side—targets right or left back.(correct position to drain right posterior segment)8.  Position patient to drain middle lobe:● Lyingon back, tilted to left side inTrendelenburg’sposition—targets right chest.(correct position to drain right middle lobe)● Lying on abdomen, tilted to left side with hips elevated—targets right back.9.  Position patient to drain basal/lower lobes:● Lyingin Trendelenburg’s position on back—targets right and left chest.● Lyingin Trendelenburg’s position on abdomen—targets right and left back(correct position to drain lower right and left lobes)● On right or left side inTrendelenburg’sposition—targets back.● Lyingon abdomen—targets right and left back(correct position to drain right and left back)10.               Maintain patient in position until chest percussion and vibration are completed (approximately 5 minutes).11.               Assist patient into position for coughing or for suctioning of trachea12.               Auscultate chest areas for breath sounds.13.               Continue until identified target areas have been drained.14.               Auscultate breath sounds, and assist patient with mouth care15.               Position patient in bed with head of bed elevated 45 degrees or more.16.               Turn patient to side with pillow at back.17.               Raise side rails, and place call light within reach.18.               Wash hands.TEACHING TO USE AN INCENTIVE SPIROMETERDEFINITION:PURPOSE:EQUIPMENT:PROCEDURE1.   Explainthe procedure to the patient.2.   Placethe patient in a comfortable sitting or semi-fowler’s position.3.  For post-op patient, try to avoid discomfort, coordinate exercise with administration of pain relievers. Instruct and assist patient with splinting of incision.4.  Let the patient hold the device with one hand, and the mouthpiece with the other hand.5.  Instruct to exhale normally and place lips securely around the mouthpiece.6.  Instruct to inhale slowly and as deeply as possible through the mouthpiece without nose breathing.7.  Tell patient to hold breath at the count of 3.8.  Instruct to remove lips from the mouthpiece and exhale normally.9.  Let the patient take several normal breaths before attempting another one with the incentive spirometer.10.   After the exercise, encourage to cough after a deep breath.11.    Encourage to do incentive Spirometry 5-10 times every 1-2 hours during daytime.12.  Chart procedure done, number of repetitions, and average volume.SUCTIONINGDEFINITION:PURPOSE:EQUIPMENT:PROCEDURE1.  Determine the need for suctioning.2.   Explain the procedure to the patient.3.   Prepare the necessary equipment.4.   Wash hands.5.   Place the patient in a semi-fowler’s position.6.   Place a towel over the patient’s chest.7.   Put on clean gloves. Designate one hand as “clean” and the other hand as”contaminated”.8.   Using the clean hand pick-up suction catheter, and with contaminated hand attach thesuction catheter to the connector.9.   Turn on suction machine and test patency with the saline solution or sterile water.A.  ORAL AND NASOPHARYNGEAL SUCTIONING10. Gently insert suction catheter either through the nose or mouthwith the suction off by keeping the port open.11. Once the correct position is ascertained, suction for 5-10seconds by gently rotating catheter by rolling it between the thumb andforefinger while slowly withdrawing the catheter.12.Release suction and withdraw catheter completely.13. Flush catheter with saline solution or sterile water.14.Repeat suctioning as needed and according to patient’stolerance.B. TRACHEOSTOMY AND ENDOTRACHEAL TUBE SUCTIONING15. Hyperventilate patient’s lungs with resuscitation bag before suctioning.16. Gently insert catheter either through the endotracheal ortracheostomy tube with the suction off by keeping the port open.17.Insert the catheter about 6 inches for adults, less for pedia,or until the patient coughs or there’s resistance.18. Suction for 5-10 seconds, gently rotating catheter by rolling itbetween the thumb and forefinger while slowly withdrawing the catheter.19. Release suction and withdraw catheter completely.20. Hyperventilate the patient.21.  Flush catheter with saline solution or sterile water.22. Repeat suctioning as needed or according to patient’s tolerance.Allow 2-3 minutes rest in between suctions23. When suctioning is completed, turn off suction machine. Detachcatheter from suction tube, remove gloves, and dispose safely and properly.24. Place patient in a comfortable position, assess effectiveness ofsuctioning by auscultating and observing breathing patterns.25. Chart the time, characteristics of secretions, and patient’sreaction. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)