Nursing 211

N211: Health Differences Across the Lifespan I of 148 Lasix (Furosemide) is the diuretic of choice because of its quick action. It may be administered IV push. Lasix mobilizes excess fluid, reduces pulmonary venous pressure and reduces, and reduces preload. Bumex may be used if Lasix is not affective or the patient is allergic. Bumex is a short acting drug. Lasix and Bumex both cause potassium loss. Serum electrolytes should be closely monitored. Potassium sparing diuretics include spironolactone (Aldactone) and triamterene (Dyrenium) may also be used. Digitalis (Lanoxin) is given to improve the pumping action of the heart and increase the output of the left ventricle. Digitalis decreased the heart rate and increases the strength of the contraction. Morphine is administered to promote vasodilation and ease the work of breathing. Ongoing assessment must be maintained because respiratory depression may increase the distress and cause increased oxygen consumption. 2.30 Laryngeal Obstruction Laryngeal Obstruction is edema if the larynx. This is a life-threatening condition. The larynxes, when obstructed with a foreign body or edema, the narrow airways become occluded easily, interfering with respiration. An allergic reaction that causes swelling is best treated with subcutaneous epinephrine, an adrenal corticosteroid, and ice to the neck. If a foreign body is lodged in the pharynx and can be visualized, it can be removed with the finger. If the obstruction is in the trachea or larynx, the sub diaphragmatic abdominal thrust maneuver (Heimlich maneuver) can be used. Stand behind the client; place both arms around the waist with one hand grasping the other fist. Quickly and forcefully exert pressure against the client’s diaphragm just below the ribs, pressing upward slightly until the obstruction is cleared. This pressure compresses the lungs, forcefully expelling the object. 2.31 Sleep Apnea Sleep Apnea (obstructive sleep apnea, OSA) is periodic cessation of breathing during sleep lasting from 10 seconds to 2 minutes and incidence may range from 50 to 600 times per night. Sleep apnea is suspected when a client snores loudly, has frequent nocturnal awakenings, and experiences excessive daytime sleepiness, fatigue. Incidence is high in obese and older adult male clients. Nursing Assessment Includes loud snoring, excessive daytime drowsiness, morning headaches, fatigue and personality changes. Nursing Interventions ©2012 Achieve Page 76

Made with FlippingBook - professional solution for displaying marketing and sales documents online