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Acute respiratory tract
disorders
Mrs Hasnah zani 1
Atelectasis
Mrs Hasnah zani 2
Learning outcomes
• At the end of this topics,student should be able to;
• Define atelectasis
• State the etiology of atelectasis
• Describe the clinical manifestation of atelectasis
• State the diagnostic procedure for client with
atelectasis
Mrs Hasnah zani 3
Cont..
• State the outcome management for client with
atelectasis
• Describe the health education to client with
atelectasis.
Mrs Hasnah zani 4
Cont..
•State the outcomes management for
client with atelectasis.
•Describe the health education to client
with atelectasis
Mrs Hasnah zani 5
Topic
• Definition
• Etiology
• Clinical manifestation
• Diagnostic procedure
• Outcome management
Mrs Hasnah zani 6
Definition
• A term used to describe partial or complete
collapse of the lung, usually due to an
obstruction of a bronchus (with mucus plug,
infection or cancer).
( Black &Hawks,2005)
• Atelectasis is commonly seen immediately in the
post-operative period in those who have
undergone general anaesthesia.
Mrs Hasnah zani 7
Etiology
• It develop when alveoli
become airless from
absorption of their air
without replacement of
the air with breathing
Mrs Hasnah zani 8
Common causes
• Inhalation of irritating of anesthetics
• Localized airway obstruction
• Insufficient pulmonary surfactant
• Increase elastic recoil
Mrs Hasnah zani 9
Symptoms
• fever less ( 38°c)
• dry cough,
• chest pains and mild shortness of breath.
• Hypoxemia
• Tachypnea
• Tachycardia
• Cyanosis
Mrs Hasnah zani 10
Diagnostic procedure
Mrs Hasnah zani 11
• Chest x-ray
-location of atelectasis
• Oximetry
-reduce O2 perfusion
(hypoxemia)
• Auscultations
-bronchial or diminished
breath sounds
-Crackles over the affected
area
Management
• Treatment is directed toward the underlying
cause
• If hypoxic,O2 should be administered
• Maintain airway patency such as postural
drainage,tracheal suctioning,chest
physiotherapy
• If an obstructed,bronchoscopy may used to
removed the material
Mrs Hasnah zani 12
Mrs Hasnah zani 13
Nursing intervention
• Primary goal to prevent atelectasis in the
high-risk client.
• Frequent change positio.
• Early ambulation help promote drainage of
all lung segments.
• Deep breathing and effective cough
encourage lung expansion and prevent
airway obstruction.
• Encourage client to used incentive
spirometry.
Mrs Hasnah zani 14
Thank
you
Mrs Hasnah zani 15
?

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Atlectasis

  • 3. Learning outcomes • At the end of this topics,student should be able to; • Define atelectasis • State the etiology of atelectasis • Describe the clinical manifestation of atelectasis • State the diagnostic procedure for client with atelectasis Mrs Hasnah zani 3
  • 4. Cont.. • State the outcome management for client with atelectasis • Describe the health education to client with atelectasis. Mrs Hasnah zani 4
  • 5. Cont.. •State the outcomes management for client with atelectasis. •Describe the health education to client with atelectasis Mrs Hasnah zani 5
  • 6. Topic • Definition • Etiology • Clinical manifestation • Diagnostic procedure • Outcome management Mrs Hasnah zani 6
  • 7. Definition • A term used to describe partial or complete collapse of the lung, usually due to an obstruction of a bronchus (with mucus plug, infection or cancer). ( Black &Hawks,2005) • Atelectasis is commonly seen immediately in the post-operative period in those who have undergone general anaesthesia. Mrs Hasnah zani 7
  • 8. Etiology • It develop when alveoli become airless from absorption of their air without replacement of the air with breathing Mrs Hasnah zani 8
  • 9. Common causes • Inhalation of irritating of anesthetics • Localized airway obstruction • Insufficient pulmonary surfactant • Increase elastic recoil Mrs Hasnah zani 9
  • 10. Symptoms • fever less ( 38°c) • dry cough, • chest pains and mild shortness of breath. • Hypoxemia • Tachypnea • Tachycardia • Cyanosis Mrs Hasnah zani 10
  • 11. Diagnostic procedure Mrs Hasnah zani 11 • Chest x-ray -location of atelectasis • Oximetry -reduce O2 perfusion (hypoxemia) • Auscultations -bronchial or diminished breath sounds -Crackles over the affected area
  • 12. Management • Treatment is directed toward the underlying cause • If hypoxic,O2 should be administered • Maintain airway patency such as postural drainage,tracheal suctioning,chest physiotherapy • If an obstructed,bronchoscopy may used to removed the material Mrs Hasnah zani 12
  • 14. Nursing intervention • Primary goal to prevent atelectasis in the high-risk client. • Frequent change positio. • Early ambulation help promote drainage of all lung segments. • Deep breathing and effective cough encourage lung expansion and prevent airway obstruction. • Encourage client to used incentive spirometry. Mrs Hasnah zani 14