Oxygenation | Chapter 49 - Fundamentals of Nursing (11th Edition)
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Загружено: 2025-08-16
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Chapter 49 of Fundamentals of Nursing (11th Edition) by Potter, Perry, Stockert, and Hall focuses on the vital concept of oxygenation and the nurse’s role in supporting adequate respiratory function. The chapter begins with a review of the anatomy and physiology of the respiratory system, including the airways, lungs, alveoli, and mechanisms of ventilation, perfusion, and gas exchange. It explores physiological processes such as oxygen transport, hemoglobin function, and carbon dioxide removal, while highlighting alterations that impair oxygenation like hypoxia, hypoxemia, hyperventilation, hypoventilation, and cyanosis. Nurses are guided in assessing respiratory function through health histories, physical assessments (inspection, palpation, percussion, auscultation), pulse oximetry, arterial blood gases, and diagnostic procedures such as chest x-rays, pulmonary function tests, and bronchoscopy. The chapter details interventions to promote oxygenation, including airway maintenance, positioning, incentive spirometry, hydration, humidification, chest physiotherapy, and suctioning. It also covers the safe administration of oxygen therapy via nasal cannulas, masks, and mechanical ventilation, with attention to preventing complications like oxygen toxicity and infection. Special considerations are provided for patients with chronic respiratory conditions (COPD, asthma), postoperative patients, and those requiring advanced airway management. By integrating evidence-based practice, the chapter emphasizes the nurse’s responsibility in preventing respiratory complications, promoting optimal oxygen delivery, and supporting patients’ quality of life.
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