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CHRONIC SINUSITIS

Medical Interventions Rationale


Independent:
 Establish baseline vital signs,  To identify alterations in respiratory
specifically respiratory rate status
 Assess patient’s level of pain  Knowing the patient’s level of pain
determines further action
 Auscultate lung sounds on anterior and  To assess area of consolidation
posterior thorax
 Elevate client’s head; semi-fowler’s  To facilitate breathing
position
 Give chest physiotherapy  To mobilize secretions

Health teachings:
 Health teaching about environmental  To prevent reoccurrence of infections
factors such as allergens that could
contribute to sinusitis
 Teach patient to perform proper  To appropriately cough out secretions
coughing techniques
 Teach how to do appropriate breathing  To encourage lung expansion
exercises

Therapeutic:
 Encourage adequate rest  To promote wellness
 Provide a clean and allergen free  Avoid or prevent allergic reactions
environment
 Increase fluid intake  Helps loosens phlegm, prevent
dehydration

Collaborative:
 Administer medications as prescribed;  Aids in preventing bronchospasm,
expectorants, bronchodilators, liquefy secretions, prevent
antibiotics, steroids, inflammation, manage facial pain

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