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
• Chest x-ray
-location of atelectasis
• Oximetry
-reduce O2 perfusion
   (hypoxemia)
• Auscultations
-bronchial or diminished
   breath sounds
-Crackles over the affected
   area
                        Mrs Hasnah zani   11
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