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Gas Exchange
5.4 Clinical Reasoning and Decision-Making related to Gas Exchange
Clinical reasoning and decision-making related to gas exchange.
Clinical reasoning is a way that we think and process our knowledge, including what we have read or learned in the past, and apply it to the current context of what we are seeing right now in practice [1] Nurses make decisions all the time, and making decisions requires a complex thinking process. There are so many useful tools to be found online that can support your thinking through to clinical judgments. In the past, and still relevant, is the nursing process. We will utilize the nursing process as well as clinical judgment tools to help you clearly understand further respiratory drugs and their application in practice.
Now that we have reviewed the respiratory system and common respiratory disorders, let’s apply your knowledge to support the learning of the respiratory system and drugs related to gas exchange.
Although there are numerous details to consider when administering medications, it is always important to first think about what you are giving and why.
First, let’s think of why? Recognizing Cues
Respiratory medications are often given to alleviate allergies or cold symptoms, or to decrease/eliminate shortness of breath (SOB). An important piece of your nursing assessment should be to assess the client’s respiratory status. The respiratory assessment includes observing the respiratory rate and quality of respirations (shallow, deep), obtaining a pulse oximetry reading, and auscultating lung sounds. Other pieces of the assessment include inspecting skin color, such as observing for pallor , or cyanosis, and determining if there is a cough or sputum present. If sputum is present, it should be assessed for color, odor, consistency, and amount (COCA).
Additional baseline information to collect prior to the administration of any respiratory medication includes any history of allergy or previous adverse drug response.
Interventions
Next, plan (refine your hypothesis), and take action..
Respiratory medications are available in many different formulations, such as nasal spray, inhalations, oral tablets or liquids, injections, or intravenous route, so it is always important to verify the correct route and anticipate the associated side effects. For example, inhalations deliver the required medicine or medicines directly to the lungs, which means the medicine(s) can act directly on the lung tissues, minimizing systemic side effects. On the other hand, intravenous medications are administered to act quickly, but can cause systemic side effects. Additionally, some products contain more than one medicine with different dosages (for example, inhalers that combine a long-acting bronchodilator with a glucocorticoid).
During the administration of respiratory medications, it is important to anticipate the expected outcome of the medication and any common side effects. For example, albuterol is a short acting Beta-2 agonist that is given for bronchodilation. The nurse should plan to perform a respiratory assessment before and after administration of albuterol to document the effectiveness of the medication, as well as monitor for tachycardia, a common side effect.
Additionally, the nurse should also ensure the proper use of the inhalers by the client. Observe the client self-administering the medication, and further instruct the client in proper use. [2]
Finally, evaluate the outcomes of your action.
It is important to always evaluate the client’s response to a medication. With respiratory medications, the nurse should assess decrease in allergy symptoms (cough, runny nose, tearing eyes) and any decrease in shortness of breath. The nurse should complete a respiratory assessment (respirations, pulse oximetry, and lung auscultation) before and after the medications have been administered and compare the results. If the symptoms are not improving or the clinical assessment is worsening, prompt intervention is required (such as notification of the health care provider for further orders) to prevent further clinical deterioration. Utilizing tools such as this concept map helps work through thinking like a nurse. This map in figure 5.4 is an example of what a concept map could look like. Your own design may vary so do not worry. You should now take time to explore what you have read and apply it visually.
Image Description
Figure 5.4 Concept Map of Gas Exchange image description: This concept map illustrates the steps of gas exchange. The flow is as follows:
- Inhalation of air
- Expiration to atmosphere
- Pulmonary capillaries
- Delivery of oxygen and nutrients
- Cells lining alveoli
- Cellular uptake of oxygen and nutrients
- Waste products – carbon dioxide
- Expiration [ Return to image ]
- NCSBN. (n.d). NCSBN Clinical Judgement Measurement model. https://www.ncsbn.org/14798.htm ↵
- Drugs.com. (n.d.). Respiratory agents. https://www.drugs.com/drug-class/respiratory-agents.html ↵
A way that we think and process our knowledge including what we have read or learned in the past and apply it to the current practice context of what we are seeing right now.
A deficiency of color especially of the face: paleness.
Matter expectorated from the respiratory system and especially the lungs that is composed of mucus but may contain pus, blood, fibrin, or microorganisms (such as bacteria) in diseased states.
Fundamentals of Nursing Pharmacology - 1st Canadian Edition Copyright © 2023 by Chippewa Valley Technical College; Amanda Egert; Kimberly Lee; and Manu Gill is licensed under a Creative Commons Attribution 4.0 International License , except where otherwise noted.
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Concept Map: Gas Exchange
Image Description
This concept map illustrates the steps of gas exchange. The flow is as follows:
- Inhalation of air
- Expiration to atmosphere
- Pulmonary capillaries
- Delivery of oxygen and nutrients
- Cells lining alveoli
- Cellular uptake of oxygen and nutrients
- Waste products – carbon dioxide
Media Attributions
- concept map gas exchange
Nursing Pharmacology Copyright © by Chippewa Valley Technical College is licensed under a Creative Commons Attribution 4.0 International License , except where otherwise noted.
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An Innovative Clinical Concept Map to Promote Clinical Judgment in Nursing Students
- PMID: 33657231
- DOI: 10.3928/01484834-20210222-04
Background: Clinical judgment is an essential component of nursing education and a necessary skill for entry-level nurses. The use of traditional concept maps may not encourage adequate clinical judgment skills in nursing students.
Method: Using the current NCLEX test plan, the National Council of State Boards of Nursing clinical judgment model, and the theoretical frameworks of Benner, Tanner, and Caputi, a new approach to concept mapping was developed.
Results: Student feedback is positive, pointing to increased ability to prioritize nursing care and simplifying a significant amount of complex information and improved critical thinking and clinical judgment.
Conclusion: This clinical concept map increases clinical judgment by assimilating and analyzing clinical information and integrating it into the nursing process. All components are on one sheet of paper, providing students with a succinct, global picture of nursing care. [J Nurs Educ. 2021;60(3):143-149.].
Copyright 2021, SLACK Incorporated.
- Clinical Competence / statistics & numerical data
- Education, Nursing* / methods
- Nursing Education Research
- Students, Nursing / psychology
- Students, Nursing / statistics & numerical data
IMAGES
VIDEO
COMMENTS
Gas Exchange Clinical Judgment Case Study with Concept Map Case Study. The nurse is caring for Oliva Jamison, 77 years old, and was admitted to the medical unit with exacerbation of COPD. Vital signs upon admission to the unit is: Blood Pressure 156/88, Pulse 101; Respiratory Rate 28, Temperature 97°F.
This web page provides a visual representation of the steps of gas exchange in the human body. It shows the flow of oxygen and carbon dioxide from inhalation to expiration, and the role of alveoli, capillaries, hemoglobin, and cells.
View Engage Fundamentals Gas Exchange Clinical Judgment Case Study with Concept Map.docx from NURSING 500 at DeVry University, Keller Graduate School of Management. 1. Identify the relevant. ... Engage Fundamentals Gas Exchange Clinical Judgment Case Study with Concept Map Case Study The nurse is caring for Oliva Jamison, 77 years old, and was ...
The concept of gas exchange is presented as an example of how these teaching/learning methods can be used; these methods are applicable to any nursing concept. KEY WORDS. Case Studies -Conceptual Learning Higher Order Questions Nursing Education Teaching Methods Venn Diagram. T. he goal of nursing education programs is to produce grad-
Utilizing tools such as this concept map helps work through thinking like a nurse. This map in figure 5.4 is an example of what a concept map could look like. Your own design may vary so do not worry. You should now take time to explore what you have read and apply it visually. Figure 5.4 Concept Map of Gas Exchange [Image Description] Image ...
This web page provides a concept map that illustrates the steps of gas exchange in the human body. It also includes a brief description of each step and a link to the next concept map on perfusion.
Nursing. Nursing questions and answers. Gas Exchange Clinical Judgment Case Study with Concept Map Case Study The nurse is caring for Oliva Jamison, 77 years old, and was admitted to the medical unit with exacerbation of COPD. Vital signs upon admission to the unit is: Blood Pressure 156/88, Pulse 101; Respiratory Rate 28, Temperature 97.8°F.
Gas Exchange and Oxygenation 180 25 Hygiene 220 20 Nutrition 230 20 ... Utilize clinical judgment case studies and concept mapping activities as a part of conference or debriefing time. Locate the Clinical Judgment Case Study and Concept Map under Faculty Resources for Engage Fundamentals on the ATI site (atitesting.com). Select the desired ...
judgment from didactic instruction into clinical practice. With ATI, educators have the tools to implement the essentials of clinical judgment in all learning settings. ATI solutions support the development of clinical judgment so that students can: A - Achieve active learning and application B - Build clinical judgment skills
Engage Fundamentals Gas Exchange Clinical Judgment Case Study with Concept Map Case Study The nurse is caring for Oliva Jamison, 77 years old, and was admitted to the medical unit with exacerbation of COPD. Vital signs upon admission to the unit is: Blood Pressure 156/88, Pulse 101; Respiratory Rate 28, Temperature 97.8°F.
This article provides a lesson plan that focuses on using model case studies, the Venn diagram, and questioning strategies to facilitate conceptual application for one biophysical concept, gas exchange (GE). GE is defined as "the process by which oxygen is transported to cells and carbon dioxide is transported from cells " (Wilson, 2017, p ...
Study with Quizlet and memorize flashcards containing terms like What is the most significant modifiable risk factor for the development of impaired gas exchange?, When evaluating the concept of gas exchange, how should the nurse best describe the movement of oxygen and carbon dioxide?, A patient is having the arterial blood gas (ABG) measured. What should the nurse identify as the parameters ...
Clinical Judgment Case Study with Concept Map Case study The nurse is caring for a 36-year-old who has chronic back pain. The client has come to the provider for a checkup and to request refills of the narcotic pain medication they have been using for many years. The client reports using less pain medication than prescribed due to fear of ...
The client reports worsening. Engage Fundamentals Gas Exchange Clinical Judgment Case Study with Concept Map Case Study The nurse is caring for Oliva Jamison, 77 years old, and was admitted to the medical unit with exacerbation of COPD. Vital signs upon admission to the unit is: Blood Pressure 156/88, Pulse 101; Respiratory Rate 28, Temperature ...
Thinking. This clinical concept map increases clinical judgment by assimilating and analyzing clinical information and integrating it into the nursing process. All components are on one sheet of paper, providing students with a succinct, global picture of nursing care. [J Nurs Educ. 2021;60 (3):143-149.].
Clinical Judgment Case Study with Concept Map Case study The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. The client is approximately 24 hr postoperative and describes the pain as "severe". The client has a history of anxiety, depression, high blood
Clinical Judgment Case Study with Concept Map Case study The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. The client is approximately 24 hr postoperative and describes the pain as "severe". The client has a history of anxiety, depression, high blood
Discuss ways to modify or revise the plan of care when client outcomes are not met. (Evaluate Outcomes; Evaluation) Engage Fundamentals Gas Exchange Clinical Judgment Case Study with Concept Map Case Study The nurse is caring for Oliva Jamison, 77 years old, and was admitted to the medical unit with exacerbation of COPD.