General Manifestations of Clients With Altered Oxygenation (
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Transcript of General Manifestations of Clients With Altered Oxygenation (
8/8/2019 General Manifestations of Clients With Altered Oxygenation (
http://slidepdf.com/reader/full/general-manifestations-of-clients-with-altered-oxygenation- 1/21
By:
Mr. Charlie C. Falguera, RN
8/8/2019 General Manifestations of Clients With Altered Oxygenation (
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Objective:y Discuss the general signs/symptoms related to
alteration of gas transport.
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Alterations in Cardiac System
8/8/2019 General Manifestations of Clients With Altered Oxygenation (
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Chest Painy A ngina Pectoris caused by myocardium ischemia.
y Timing: A ngina lasts 5-15 min, MI lasts >30 min
y
Quality describe the painy Quantity Scale of 1-10
y Location A ngina: retrosternal, felt slightly to the left of themidline or partly under the sternum. Radiates bilaterally across the chest into the arms, & into the neck & lower jaw.
y Precipitating or A ggravating Factors
y Relieving factors
y A ssociated Manifestations: SOB, N&V, Diaphoresis, Vertigo,Palpitations
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Chest Painy A ngina Pectoris
y Irregularities of Heart Rhythm
y Palpitations sensation of rapid heartbeats, skipping,irregularity, thumping, or pounding maybe accompanied by anxiousness.
y Maybe Caused By:
y Tachycardia
y Increased force of myocardial contractiony Premature ventricular beats
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Dyspneay Defined as shortness of breath or labored breathing.
y A cute dyspnea:y Caused by:
y Fever
y Exposure to high altitude
y A cute pulmonary edema
y Hyperventilation
y A nemia
y Pneumonia
y Pneumothorax
y Pulmonary emboli
y A irway obstruction
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Dyspneay Chronic D yspnea
y Caused By:
y A nxiety
y Depression
y Left ventricular heart failure
y Pulmonary disease
y Pleural effusion
y A sthmay Obesity
y Poor physical fitness
8/8/2019 General Manifestations of Clients With Altered Oxygenation (
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Dyspneay Forms of D yspnea
y Exertional D yspnea (DOE)
y
Occurs during mild to moderate exercise or activity anddisappears with rest.
y Orthopnea
y Results from an increase in hydrostatic pressure in the lungs when the person is lying flat and is relieved when a person
assumes an upright or semivertical position.
y Paroxysmal Nocturnal D yspnea
y D yspnea during sleep
8/8/2019 General Manifestations of Clients With Altered Oxygenation (
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Syncopey Or Fainting a transient loss of consciousness related
to inadequate cerebral perfusion.
y
Cardiac dysrhythmiasy Valvular disorders
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Fatiguey Related to decreased cardiac output.
y A nemia
y A nxiety y Chronic diseases
y Depression
y Thyroid dysfunction
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Weight Gain & Dependent Edemay Result from heart failure
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Other Manifestations:y Cyanosis subtle bluish discoloration.
y Differential cyanosis
y Peripheral cyanosisy Clubbing of Fingers
y Hemoptysis
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Alterations in Hematologic System
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Intermittent Claudicationy A n ischemic muscle pain precipitated by activity and
relieved by rest.
y
Caused By:y A ccumulation of Lactic A cid end products of anaerobic
cellular metabolism.
y Peripheral A rterial Disease
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Edemay A ccumulation of fluid at the interstitial spaces.
y Results from: Venous Disorders
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Skin Changesy Pallor
y Flushing
y Jaundice
y Cyanosis
y Excoriation
y Pruritus
y A ngioma
y Telangiectasis abnormal dilatation of the terminal skincapillaries
y Spider nevus characterized by a small center elevated reddot from which tiny blood vessels radiate.
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Skin Changesy Purpura
y Petechiae
y Ecchymosisy Hematoma localized mass of blood, usually clotted,
within a tissue or body part.
y Chloroma solid mass resulting from collections of
leukemic cells.y Plasmacytoma a focal neoplasm consisting of plasma
cells
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Changes in Sensationy Paresthesia of hands and feet numbness or tingling
resulting from nerve tissue ischemia.
yA taxia defective control and coordination of
voluntary muscles.
y Weakness
y Headache
y Nuchal rigidity stiffness of the neck
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Ulcery A ssociated with arterial/venous insufficiency.
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Thank You!!!!