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Care plan for incentive spirometry
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Introduction
An incentive spirometer is a tool that measures how well you are filling your lungs with each breath. Using this tool can help you keep your lungs clear and active by learning to take long, deep breaths. This may help reverse or decrease the chance of developing breathing (pulmonary) problems, especially infection. You may be asked to use a spirometer:
After a surgery.
If you have a lung problem or a history of smoking.
After a long period of time when you are unable to move or be active.
If the spirometer includes an indicator to show your best effort, your health care provider or respiratory therapist will help you set a goal. Keep a log of your progress as told by your health care provider.
What are the risks?
Breathing too quickly
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may cause dizziness or cause you to pass out. Take your time so you do not get dizzy or light-headed. If you are in pain, you may need to take pain medicine before doing incentive spirometry. It is harder to take a deep breath if you are having pain. How to use your incentive spirometer Sit up on the edge of your bed or on a chair.
Hold the incentive spirometer so that it is in an upright position.
Breathe out normally.
Place the mouthpiece in your mouth. Make sure your lips are closed tightly around it.
Breathe in slowly and as deeply as you can through your mouth, causing the piston or the ball to rise toward the top of the chamber.
Hold your breath for 3–5 seconds or for as long as possible.
Remove the mouthpiece from your mouth and breathe out normally. The piston or ball will return to the bottom of the chamber.
Rest for a few seconds and repeat the steps at least 10 times. Do this every 1–2 hours when you are awake. Take your time and take a few normal breaths between deep breaths so that you do not get dizzy or light-headed.
If the spirometer includes an indicator to show your best effort, use this as a goal to work toward during each repetition.
After each set of 10 deep breaths, cough a few times. This will help ensure that your lungs are clear. If you have an incision from surgery, place a pillow or a rolled-up towel firmly against the incision to reduce pain when you are coughing.
General tips
Once you are able to get out of bed, walk around often and continue to cough to help clear your
lungs. Keep using the incentive spirometer until your health care provider says it is okay to stop using it. Contact a health care provider if: You are having difficulty using the spirometer. You have trouble using the spirometer as often as instructed. Your pain medicine is not giving enough relief while using the spirometer. You have a fever. You develop shortness of breath. Your incision feels warm to the touch. Get help right away if: You develop a cough with bloody sputum. You have pus or a bad smell coming from an incision. You have redness, swelling, or pain around an incision. You have fluid or blood coming from an incision site. Summary An incentive spirometer is a tool that can help you keep your lungs clear and active by learning to take long, deep breaths. You may be asked to use a spirometer after a surgery, if you have a lung problem or history of smoking, or if you have been inactive for a long period of time. Use your incentive spirometer as instructed every 1–2 hours while you are awake.
Compress the safety bulb, hold it firmly against the end of the pipette. Then release the bulb and allow it to draw the liquid into the pipette.
The individual will have their blood pressure levels taken using a blood pressure machine called a sphygmomanometer, where a cuff is placed around the individual’s arm and fills up with air to create pressure around the arm to restrict the amount of blood flow and takes a pulse reading as it releases the pressure. After the individual’s blood pressure has been taken they may be asked to take it at home using a blood pressure kit to see if it is still high and that the first reading was not due to anxiety.
Take a pinch from the dough and form a ball between your palms. It should fit in the dent you have in your hands.
As you practice remember that inhalation and exhalation are both done through the nose and should be an equal amount of time in duration. Make sure to keep your breath flowing and your throat open. Don’t tense your shoulders or jaw. Be careful not to overfill your lungs as it will cause tension. Finally, keep your navel pulled in while breathing.
You can place either a towel or you hand under you chin for added comfort
Tension Pneumothorax requires immediate attention. A needle or chest tube needs to be inserted into the chest cavity to release the pressure as soon as possible. If an evacuation is going to take a long period of time you may have to do this procedure yourself. That is not recommended though.
(Moore). The player must develop a technique called circular breathing where he or she inhales through the nose, stores air in their cheeks, and exhales through their mouth without stopping the air flow through the horn.
The clinical manifestation one may see in patients with chronic bronchitis are chronic cough, weight loss, excessive sputum, and dyspnea. Chronic cough is from the body trying to expel the excessive mucus build up to return breathing back to normal. Dyspnea is from the thickening of the bronchial walls causing constriction, thereby altering the breathing pattern. This causes the body to use other surrounding muscles to help with breathing which can be exhausting. These patients ca...
If you can sit down in the meditation (lotus) position, that's great, if not, no worries. Either way, all you have to do is be still and focus on your breath for just one minute. Start by breathing in and out slowly. One breath cycle should last for approximately 6 seconds. Breathe in through your nose and out through your mouth, letting your breath flow effortlessly in and out of your body. Let go of your thoughts. Let go of things you have to do later today or pending projects that need your attention. Simply let thoughts rise and fall of its own accord and be at one with your breath. Purposefully watch your breath, focusing your sense of awareness on its pathway as it enters your body and fills you with life. Then watch with your awareness as it works work its way up and out of your mouth and its energy dissipates into the world. If you are someone who thought they’d you would never be able to meditate, guess what? You are half way there
The next step is to open the airway. Place two or three fingers under each side of the jaw, at its angle. Lift the jaw upward and outward. If this alone does not open the airway, slightly tilt the child’s head. Check for signs of breathing by using the look, listen, and feel method. Also, check for anything that may be blocking the airway. If something is visible, remove it.
The base of tongue resides close to the glottic aperture. During traditional direct laryngoscopy, the base of tongue falls posteriorly, obstructing the line of sight into the glottis. Visualizing the larynx requires displacing the base of tongue anteriorly so that the line of sight to the glottis is restored. The tongue is frequently displaced with a hand-held rigid laryngoscope, to which Macintosh and Miller blades are most commonly attached. These laryngoscopes push the tongue anteriorly and, in so doing, move it from a posterior obstructing position to a new anterior nonobstructing position. The new position is within the mandibular space. The mandibular space is the area between the two rami of the mandible. Even with the tongue maximally displaced into the mandibular space, visualization of the larynx is sometimes inadequate. A tongue which is large compared with the size of the mouth (oropharynx) and mandible takes up excessive space in the oropharynx and thus interferes with
Peak flow meters allow someone to monitor if there are any changes in their lung function and breathing. People with asthma or other lung diseases use peak flow meters. They can take their PEF reading twice a day independently at home, although young children need supervision while taking their peak flow. Using a peak flow meter daily allows people to track the control of their lung disfunction and it shows if treatment is working correctly. Taking a peak flow reading also allows the user to recognise signs of their lungs flaring up before symptoms appear. The user will know when to call their doctor for emergency care.
Ascertaining the adequacy of gaseous exchange is the major purpose of the respiratory assessment. The components of respiratory assessment comprises of rate, rhythm, quality of breathing, degree of effort, cough, skin colour, deformities and mental status (Moore, 2007). RR is a primary indicator among other components that assists health professionals to record the baseline findings of current ventilatory functions and to identify physiological respiratory deterioration. For instance, increased RR (tachypnoea) and tidal volume indicate the body’s attempt to correct hypoxaemia and hypercapnia (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). The inclusive use of a respiratory assessment on a patient could lead to numerous potential benefits. Firstly, initial findings of respiratory assessment reveals baseline data of patient’s respiratory functions. Secondly, if the patient is on respiratory medication such as salbutamol and ipratropium bromide, the respiratory assessment enables nurses to measure the effectiveness of medications and patient’s compliance towards those medications (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). Thirdly, it facilitates early identification of respiratory complications and it has the potential to reduce the risk of significant clinical
There are 2 types of breathing, costal and diaphragmatic breathing (Berman, 2015). Costal refers to the intercostal and accessory muscles while diaphragmatic refers to breathing using your diaphragm (Berman, 2015).It is important to understand the two different types of breathing because it is vital in the assessment of the patient. For example, if a patient is suing their accessory muscles to aid in breathing then we can safely assume that they are having breathing problems and use a focused assessment of their respiration. Assessing respiration is fairly straightforward. The patient’s respiration rate can be affected by anxiety so a useful to avoid this is to check pulse first and after you have finished that, while still holding their pulse point, check their respiration rate. Inconspicuous assessment avoids the patient changing their breathing because they know they are being assessed which patients can sometimes do subconsciously. Through textbooks and practical classes I have learned what to be aware of while assessing a patient’s respiratory rate. For example; their normal breathing pattern, if and how their health problems are affecting their breathing, any medications that could affect their respiratory rate and also the rate, depth, rhythm and quality of their breathing (Berman, 2015). The only problem I found while assessing respiration rate was I thought it seemed a bit invasive looking at the