Brown Sheree D, Walters Madonna R
General Surgery & Trauma, St. Joseph Mercy Hospital, Ann Arbor, Michigan, USA.
J Trauma Nurs. 2012 Apr-Jun;19(2):89-91; quiz 92-3. doi: 10.1097/JTN.0b013e31825629ee.
Rib fractures pose significant risk to trauma patients. Effective pain control and the ability to take deep breaths are crucial for optimal recovery, and these are key elements in current clinical guidelines. These guidelines use incentive spirometry volumes along with other assessment values to guide patient care. However, despite current guidelines, nurses do not routinely document inspired respiratory volumes. This article provides trauma nurses with the rationale for documenting and tracking incentive spirometry volumes to improve outcomes for patients with rib fractures. This promotes early detection of respiratory decline and early interventions to improve pain control and pulmonary function.
肋骨骨折对创伤患者构成重大风险。有效的疼痛控制和深呼吸能力对于最佳恢复至关重要,而这些是当前临床指南中的关键要素。这些指南使用激励肺活量测定值以及其他评估值来指导患者护理。然而,尽管有当前的指南,护士并不常规记录吸气呼吸量。本文为创伤护士提供了记录和跟踪激励肺活量测定值的基本原理,以改善肋骨骨折患者的治疗效果。这有助于早期发现呼吸功能下降并进行早期干预,以改善疼痛控制和肺功能。