LEARNING JOURNAL

LEARNING ACTIVITIES/PROCEDURES LEARNING NURSING PROBLEMS

OBJECTIVES PERFORMED FEEDBACK RESPOSIBILITIES ENCOUNTERED
Respiratory  Hand hygiene Respiratory
assessment rate
 Ask for consent Assess and record Apnea
To understand Newborn- 20-60 respiratory rate
the importance of  Prepare all the bpm and depth at least Cyanosis
respiratory equipment 4 hours
assessment. Young children- Drowsy
 Introduce your self 20-40 bpm Assess for use of
To know how to using the two accessory muscles Tachypnea
determine identifications. Older children—
respiratory 15-25 bpm Rates and depths Bradypnea
assessment.  Explain the of respirations
procedure to the Adult 12-15 bpm Retractions
To know how the client. Observe breathing
properly assess patterns Lethargic
respiratory both Nursing assessment Tachypnea- fast
in intubated and monitoring: breathing Auscultate for
extubated abnormal breath
patient. Physical examination Bradypnea- low sounds
breathing rate
Non-invasive monitoring Assess and
- Respiratory Apnea – no monitor the
examination breathing patients as a
1. Look Dyspnea – whole
2. Listen respiratory stress
3. Feel Obtain a baseline
and accurate
assessment of the
 respiratory system
before continuing
any further.

LEARNING JOURNAL

LEARNING ACTIVITIES/PROCEDURES LEARNING NURSING PROBLEMS

OBJECTIVES PERFORMED FEEDBACK RESPOSIBILITIES ENCOUNTERED
RECOGNITION Vital sign are extremely It is importance Always prevent Diaphoresis
OF helpful in determining the for nurse client from injury
RESPIRATORY severity of respiratory providers to Tachycardia
FAILURE AND failure. able to Provide
SHOCK IN recognize shock respiratory Heart failure
CHILDREN Electrolyte abnormalities: and respiratory medications as
 Hypokalemia failure by which ordered Severe
We know how to  Hypocalemia children. Which dehydration
able recognize  Hypophosphatemia is typically Monitor oxygen
respiratory can impair muscle progress to level Sepsis
distress contraction cardio
respiratory Assess the Metabolic acidosis
We able to Complete blood count failure and breathing of the
recognize shock ( CBC) polycythemia cardiac arrest patient Increase HR
suggests chronic with early
To know the hypoxemia recognition and Assess the Increase RR
therapeutic Continuous monitoring of intervention we appearance of the
management of pulse oximetry. can improve client Change in color
respiratory failure outcome for
The initial assessment of patients. Monitor heartbeat Stridor
To determine the patient in respiratory failure
possible risk of should focus on I learned that Monitor the client
respiratory failure determining the urgency of respiratory consciousness
and shock. medical intervention. failure is a
condition in
which your
blood doesn’t
have enough
oxygen or to
much carbon
dioxide.

LEARNING JOURNAL
LEARNING ACTIVITIES/PROCEDURES LEARNING NURSING PROBLEMS
OBJECTIVES PERFORMED FEEDBACK RESPOSIBILITIES ENCOUNTERED
COMMON Demonstrate increased Monitor vital sign Avoid other form Bronchospasm
PEDIATRIC work of breathing of stress
RESPIRATORY Assess Epiglottitis
PROBLEM Draw in air against a appearance Help patient with
higher resistance than monitor ADL’s as Edema of the soft
To know the normal respiratory rate necessary tissues of the
upper airway and heart rate airway
obstruction Look for suprasternal Maintenance of
retractions if present. Perform correct Infection
Know the lower tracheotomy temperature
airway obstruction Assess for signs of croup bypassing the Upper airways
and epiglottitis. obstruction Fluid electrolyte obstruction
To determine the management
pneumothorax Assess asymmetric chest Monitor the Lower airway
arise and breath sound. opening airway Warm humidified obstruction
oxygen given with
Observe differential chest Assess for head box Pneumothorax
rise. retraction
Ensuring adequate
Assess for high breathing and
pitch noise circulation

Assess for the Clearing airway

result of trauma

Look for sign of

venous

Inadequate
cardiac output

Look for sign of

respiratory
distress
 LEARNING JOURNAL
LEARNING ACTIVITIES/PROCEDURE LEARNING NURSING PROBLEMS
OBJECTIVES S PERFORMED FEEDBACK RESPOSIBILITIES ENCOUNTERED
INFANT Observe for
DISTRESS Physical examination Important to be cyanosis and Grunting
WARNING familiar the jaundice
SIGNS General assessment different types of Apnea
warning signs for Assess the patient
Will be able to Retractions- check to see us to easily skin Jaundice
identify different if the chest pulls in with determine what
types of infant each breath, especially is doing to our Check the patient Retractions
distress sign around the collarbones patient. for the sign of
and around the ribs distress Nasal flaring
To know what is Grunting sound
grunting Grunting- is a noisy can be heard Assess the Clammy skin
breathing sound. Your each time the breathing rate
To determine baby may grunt to keep person exhales. Change in body
what is retraction air in the lungs. Grunting Count the number position
may sound like snoring or of breathing
To know what is singing.
apnea Assess for any
Apnea- is a condition in alteration
To know when which your baby pauses
the patient has breathing for 15 to 20
breathing sec. the continuous
problems. breathing.