Acute respiratory tract
disorders
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Atelectasis
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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
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Cont..
• State the outcome management for client with
atelectasis
• Describe the health education to client with
atelectasis.
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Cont..
•State the outcomes management for
client with atelectasis.
•Describe the health education to client
with atelectasis
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Topic
• Definition
• Etiology
• Clinical manifestation
• Diagnostic procedure
• Outcome management
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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.
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Etiology
• It develop when alveoli
become airless from
absorption of their air
without replacement of
the air with breathing
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Common causes
• Inhalation of irritating of anesthetics
• Localized airway obstruction
• Insufficient pulmonary surfactant
• Increase elastic recoil
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Symptoms
• fever less ( 38°c)
• dry cough,
• chest pains and mild shortness of breath.
• Hypoxemia
• Tachypnea
• Tachycardia
• Cyanosis
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Diagnostic procedure
• Chest x-ray
-location of atelectasis
• Oximetry
-reduce O2 perfusion
(hypoxemia)
• Auscultations
-bronchial or diminished
breath sounds
-Crackles over the affected
area
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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
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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.
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Thank
you
?
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