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  • Week 3 Atelectasis CC

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    Lu Beibei
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    Atelectasis is a collapse of part or all of a lung caused by reduced ventilation or airway obstruction. It commonly occurs after surgery or in immobilized patients with shallow breathing. Atelectasis develops when alveoli deflate due to blockages, pressure on the lungs, or excess fluid in the chest cavity. Symptoms include shortness of breath, cough, and crackles in the affected lung area. Treatment focuses on clearing airways and secretions through techniques like breathing exercises, chest percussion, and suctioning to re-expand the lungs.

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    Atelectasis is a collapse of part or all of a lung caused by reduced ventilation or airway obstruction. It commonly occurs after surgery or in immobilized patients with shallow breathing. Atelectasis develops when alveoli deflate due to blockages, pressure on the lungs, or excess fluid in the chest cavity. Symptoms include shortness of breath, cough, and crackles in the affected lung area. Treatment focuses on clearing airways and secretions through techniques like breathing exercises, chest percussion, and suctioning to re-expand the lungs.

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    12 views2 pages

    Week 3 Atelectasis CC

    Uploaded by

    Lu Beibei
    Atelectasis is a collapse of part or all of a lung caused by reduced ventilation or airway obstruction. It commonly occurs after surgery or in immobilized patients with shallow breathing. Atelectasis develops when alveoli deflate due to blockages, pressure on the lungs, or excess fluid in the chest cavity. Symptoms include shortness of breath, cough, and crackles in the affected lung area. Treatment focuses on clearing airways and secretions through techniques like breathing exercises, chest percussion, and suctioning to re-expand the lungs.

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    of 2

    ATELECTASIS BACKGROUND INFORMATION

    Ateletacsis: a complete or partial collapse


    of a lung/ segment of a lung that occurs
    when the alveoli become deflated
    Acute atelectasis: often seen in post-op
    setting or in ppl who are immobilized &
    PATHOPHYSIOLOGY have , monotonous breathing patter
    - atelectasis occurs as a result of reduced ventilation or any
    blockage that obstructs passage of air to and from alveoli,
    affecting portion of the lung becomes airless & the alveoli collapse
    - post-op pt are at high risk for atelectasis, this can result from the
    CAUSES effects of anesthesia or analgesic agents, supine position, splinting Medical Management
    - Airway obstruction that results from retained of the chest wall becoz of pain, abdominal distension - inpt who do not respond to the preventive
    exudates & secretions, often seen in post-op pt measures, other Tx such as positive end
    - atelectasisi may develop becoz of excessive pressure on the lung
    Altered breathing patters, retained secretions, expiratory pressures (PEEP); a simple mask &
    tissue, which restrict normal lung expansion on inspiration. Such
    pain, reduced lung volumes due to 1 way valve system that provides carrying
    pressure can be produced by fluid accumulating w/in the pleural
    muscuskeletal or neurologic disorders, specific amounts of expiratory resistance, usually 10-
    space (pleural effusion), air in the pleural space (pneumothorax), 15 cm H2O), cont positive pressure
    surgical procedures ( upper abdominal, thoracic, hemothorax
    open heart surgery) breathing (CPPB), or bronscopscopy may be
    used
    - If atelectasis is compressing of lung tissue,
    CLNICAL MANIFESTATION the goal is to decrease the compression.
    Dyspnea, cough, sputum production, marked respiratory distress, tachycardia, With large pleural effusion, Tx may include
    tachypnea, hypoxemia, decreased breath sound, crackles heard at affected area, XR thoracentesis (Removal of the fluid by
    may reveal patchy infiltrates or consolidated areas needle aspiration) or insertion of a chest
    tube

    NURSING INTERVENTIONS
    1) Frequent turning, early mobilization, & expands the lungs and to manage secretions
    2) Voluntary deep breathing exercise ( q2 hr), assist in preventing & treating atelectasis
    3) Use of incentive spirometer or voluntary deep breathing exercise enhances lung
    expansion, decrease the potential for airway closure, may generate a cough
    4) Secretion management techniques, directed cough, suctioning, aerosol nebulizer Tx
    followed by chest physical ( postura drainage & chest percussion) & bronscopy

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