Sunday 20 October 2013

Auscultation and Rx

Wheeze
  • Positioning
  • Nebulisers

Crackles
  • Alert
    • Mobilisation
    • Suction
    • ACBT
      • +/- IPPB
        • -- Patients who are unwilling, restless or in pain
        • + Patients who are weak or not fully inflating bases
          • Sputum retention
  • Drowsy
    • Suction
      • Percussion
        • Provided no risk of arrhythmias
      • Humidification
      • Vibs and shakes
    • Postural drainage
      • Bad lung up
        • Ventilator takes route of least resistance
      • Side to side throughout the day rather than rotate for 10 mins with head tilt, as it compromises haemodynamics

Pain
  • Epidural
  • Supported cough

1 comment:


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