Nursing management of the patient with acute lung failure includes which interventions?

Question

Quizplus · Accepted Answer

The goal of positioning is to place the least affected area of the patient's lung in the most dependent position.Patients with unilateral lung disease should be positioned with the healthy lung in a dependent position.Patients with diffuse lung disease may benefit from being positioned with the right lung down because it is larger and more vascular than the left lung.For patients with alveolar hypoventilation,the goal of positioning is to facilitate ventilation.These patients benefit from nonrecumbent positions such as sitting or a semierect position.In addition,semirecumbency has been shown to decrease the risk of aspiration and inhibit the development of hospital-associated pneumonia.Frequent repositioning (at least every 2 hours)is beneficial in optimizing the patient's ventilatory pattern and ventilation/perfusion matching.These include performing procedures only as needed,hyperoxygenating the patient before suctioning,providing adequate rest and recovery time between various procedures,and minimizing oxygen consumption.Interventions to minimize oxygen consumption include limiting the patient's physical activity,administering sedation to control anxiety,and providing measures to control fever.

Nursing Management of the Patient with Acute Lung Failure Includes