To help a client prevent atelectasis and pneumonia after surgery, what should the nurse do?

How do you prevent post op pneumonia?

How does surgery increase the risk?

  1. Move! …
  2. Take care of your mouth and teeth. …
  3. Always keep the head of your hospital bed at a 30-degree angle.
  4. Do your deep breathing and coughing exercises.
  5. When you are awake, use your incentive spirometer 10 times every hour.

How can post op atelectasis be prevented?

Deep breathing exercises and coughing after surgery can reduce your risk of developing atelectasis. If you smoke, you can lower your risk of developing the condition by quitting smoking before any operation.

What is the priority nursing diagnosis in the care of a patient with pneumonia?

Ineffective Airway Clearance is a common NANDA nursing diagnosis for pneumonia nursing care plans. This diagnosis is related to excessive secretions and ineffective cough or nonproductive coughing. Inflammation and increased secretions in pneumonia make it difficult to maintain a patent airway.

How can you prevent pulmonary complications after surgery?


  1. Avoidance of alcohol.
  2. Improving nutritional status.
  3. Improving patients’ functional respiratory performance.
  4. Pre-operative physiotherapy to provide adequate lung expansion and reduce atelectasis.
  5. Pre-operative inspiratory muscle training.
  6. Optimisation of medical therapy.

What are symptoms of postoperative pneumonia?

Other symptoms may include:

  • A cough with greenish or pus-like phlegm (sputum)
  • Fever and chills.
  • General discomfort, uneasiness, or ill feeling (malaise)
  • Loss of appetite.
  • Nausea and vomiting.
  • Sharp chest pain that gets worse with deep breathing or coughing.
  • Shortness of breath.
  • Decreased blood pressure and fast heart rate.

Can deep breathing help prevent pneumonia?

Taking deep breaths and moving around as much as you can also help reduce your chances of acquiring pneumonia.

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How do you fix atelectasis?

Atelectasis treatment can include breathing or coughing exercises, inhaled medicines, breathing devices, or surgery. Atelectasis usually gets better with time or treatment. However, if it is undiagnosed or untreated, serious complications can occur, including fluid buildup, pneumonia, and respiratory failure.

Why are post op patients at risk for atelectasis?

Thoracic surgical procedures increase the risk because pain, thoracic muscle injury, chest wall instability, and diaphragmatic dysfunction impair clearance of secretions by cough. In addition, patients with lung diseases are prone to increased bronchial secretions.

Why does atelectasis happen after surgery?

General anesthesia is a common cause of atelectasis. It changes your regular pattern of breathing and affects the exchange of lung gases, which can cause the air sacs (alveoli) to deflate. Nearly everyone who has major surgery develops some amount of atelectasis. It often occurs after heart bypass surgery.

What is the nursing care plan for pneumonia?

Nursing Care Plans for PneumoniaInterventionsRationalesEncourage coughing up of phlegm. Suction secretions as needed. Perform steam inhalation or nebulization as required/ prescribed.To help clear thick phlegm that the patient is unable to expectorate.

What are nursing interventions for ineffective airway clearance?

Nursing Interventions for Ineffective Airway Clearance

  • Optimal positioning (sitting position)
  • Use of pillow or hand splints when coughing.
  • Use of abdominal muscles for more forceful cough.
  • Use of quad and huff techniques.
  • Use of incentive spirometry.
  • Importance of ambulation and frequent position changes.

What should you assess for a patient with pneumonia?

Assess the changes in temperature and pulse; amount, odor, and color of secretions; frequency and severity of cough; degree of tachypnea or shortness of breath; and changes in the chest x-ray findings. Assessment in elderly patients.

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What causes shortness of breath after surgery?

Sometimes lung problems happen because you don’t do deep breathing and coughing exercises within 48 hours of surgery. They may also happen from pneumonia or from inhaling food, water, or blood into the airways. Symptoms may include wheezing, chest pain, shortness of breath, fever, and cough.

What are the postoperative complications?

Postoperative complications

  • Shock – Shock is the dangerous reduction of blood flow throughout the body.
  • Hemorrhage – Hemorrhage means bleeding.
  • Wound infection – When bacteria enter the site of surgery, an infection can result.
  • Deep vein thrombosis – Sometimes blood clotting occurs within deep-lying veins.

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