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|Behavioral Objectives |Content Outline |Clinical Objectives |Learning Opportunities |

|Apply the terms listed in the content column |Application of terms | |Readings: |

|appropriate to the patient situations involving the |Bronchitis | |McKinney |

|respiratory system. |Dyspnea | |Lewis |

| |Hypercapnia (Hypercarbia) | |Berman & Snyder |

| |Paroxysmal nocturnal dyspnea (PND) | |Adams |

| |Polycythemia | |Estes |

| |Pulmonary toilet | | |

| |Pulsus paradoxes | |TVCC Library – Nursing Education in Video |

| |Sensoruim | | |

| |Ventilation | | |

| |Virus | |Anti-Infective Medication Therapy Series: |

|Compare and contrast the normal anatomy and physiology | | |Antifungal and Antiviral Agents |

|to the pathophysiology of selected commonly occurring |Anatomy & Physiology of Respiratory system | |Assessment of an Infection |

|disease processes in the respiratory system. |Developmental considerations | |Cephalosporins, Aminoglycosides, |

| |Infant | |Macrolides and Quinolones |

| |Child | |Nursing Implications |

| |Adolescent | |Sulfonamides and Penicillins |

| |Adult | | |

| |Older adult | |Assessment of Respiratory Distress in the Pediatric |

| |Pathophysiology of respiratory system | |Patient |

|Analyze factors included in the assessment of the |Impaired gas exchange | | |

|patient experiencing |Immune/inflammatory process | |Tuberculosis: New Strategies for the Healthcare Worker |

|common occurring respiratory problems, including the | | | |

|developmental |Selected commonly occurring problems | |The Basics of Oxygen Administration |

|and cultural considerations. |Interview | | |

| |Chief complaint | | |

| |Precipitating event | | |

| |Medical history | | |

| |Family/ Social/occupational history | | |

| |Medication history | | |

| |Prescription | | |

| |Nonprescription | | |

| |Knowledge of health maintenance | | |

| |Risk factors | | |

| |Physical exam – respiratory | | |

| |Breathing pattern (rate, depth, rhythm, effort, symmetry) | | |

| |Breath sounds | | |

| |Color (central & peripheral) | | |

| |Cough & sputum | | |

| |Activity level | | |

| |Capillary refill | | |

| |Chest pain | | |

| |Nasal flaring, chest retractions | | |

| |Nails (clubbing) | | |

| |Diagnostic tests | | |

| |Radiology | | |

| |Chest x-ray | | |

| |Laboratory studies | | |

|. |Complete blood count (CBC) | |#6009 – The Respiratory System |

| |Electrolytes | | |

| |Culture & sensitivity | |Mosby’s Videos: |

| |Sputum | |Physical Examination and Health Assessment |

| |Peak and trough | |Nursing Video Skills |

| |Other | |Care of Infants and Children |

| |Pulmonary function test | | |

| |Pulse oximeter | | |

| |Risks | | |

| |Cultural influences | | |

| |Hereditary | | |

| |Environmental | | |

| |Health beliefs/practices | | |

| |Developmental | | |

| |Age specific assessment data | | |

| |Vital signs | | |

| |Fluid /electrolytes | | |

| |Nutritional | | |

| |Behavioral/emotional response to health care providers | | |

| | | | |

| | | | |

| | | | |

|Differentiate between the etiology, pathophysiology, |Common Occurring Respiratory Problems | | |

|and clinical manifestations of selected commonly |Respiratory | | |

|occurring respiratory disease processes including |Asthma | | |

|immune – inflammatory process. |Upper respiratory infection | | |

| |Colds | | |

| |Lower respiratory infection | | |

| |Pneumonia | | |

| |Bronchitis | | |

|Discuss analysis, planning, implementation, and |Selected Nursing Diagnoses/Implementation/ Evaluation | | |

|evaluation for the nursing management of patients with |Impaired gas exchange | | |

|commonly occurring respiratory disease processes. |Independent Interventions | | |

| |See respiratory assessment | | |

| |Pulmonary toilet | | |

| |Positioning for maximum ventilation | | |

| |Energy conservation measures | | |

| |Breathing techniques | | |

| |Monitor pertinent diagnostic tests | | |

| |Decrease sputum viscosity | | |

| |Allergen control | | |

| |Avoid cigarette smoke | | |

| |Turn, cough and deep breathe | | |

| |Collaborative interventions | | |

| |Oxygen support | | |

| |Collaborate with respiratory therapy | | |

| |Aerosol therapy | | |

| |Chest physiotherapy with postural drainage | | |

| |IPPB | | |

| |Mist tent | | |

| |Administer medications and monitor for desired/adverse/side | | |

| |effects | | |

| |Bronchodilators | | |

| |Corticosteroids | | |

| |Antibiotics | | |

| |Mast cell inhibitors | | |

| |Leukotrienes | | |

| |Anticholinergics | | |

| |Epinephrine | | |

| |Recognition of complications | | |

| |Atelectasis | | |

| |Pneumothorax | | |

| |Respiratory failure | | |

| |Pulmonary hypertension | | |

| |Status asthmaticus | | |

| |Evaluation of Outcomes: The patient will have improved gas | | |

| |exchange as evidenced by: | | |

| |Breathing pattern | | |

| |Level of consciousness | | |

| |Vital signs | | |

| |Color | | |

| |Cough /sputum | | |

| |Activity tolerance level | | |

| |Pulse oximeter | | |

N/AND/Transition/RNSG 1327 Unit V Part G Respiratory Reviewed 03/12

Reviewed 03/13

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