Respiratory Nursing Care

Our nurses are experienced in providing a complete range of nursing care specializations, including nursing care for respiratory patients

  • Giving medicines on time.
  • Feeding and bathroom assistance.
  • Caring and dressing wounds.
  • Fixing a diet plan.

Respiratory Nursing Care

Our nurses are experienced in providing a complete range of nursing care specializations, including nursing care for respiratory patients

  • Giving medicines on time.
  • Feeding and bathroom assistance.
  • Caring and dressing wounds.
  • Fixing a diet plan.

Respiratory Nursing Service

Nursing care plan for Respiratory distress in newborn syndrome

 

Respiratory distress syndrome is also known as hyaline membrane disease (HMD). It causes the greatest risk in premature infants. Respiratory distress syndrome (RDS) is the condition when the neonate has difficulty breathing due to surfactant deficiency at birth. It is the commonest clinical problem faced by preterm infants and is directly proportional to structurally immature and surfactant-deficient lungs.

Progressive and high-frequency respiratory insufficiency, breathlessness due to immaturity and atelectasis of the lungs characterize the RDSNB. It is reported that although it has been linked to a qualitative and quantitative dysfunction of the pulmonary surfactant system, its replacement has been associated with a sustained improvement in lung function and a reduction in the mortality rate

  • Low gestational age
  • Impaired synthesis of pulmonary surfactant
  • Prematurity of the lungs structurally and functionally
  • terminal alveoli with insufficient surfactants

The gestational age is the main risk factor in causing respiratory distress syndrome. The preterm infants will be with immature lungs and with insufficient surfactants which leads to increased surface tension in the alveoli and reduced lung compliance, leading to increased work of breathing; hypoventilation, leading to respiratory acidosis; increased intrapulmonary shunting and severe hypoxaemia; fall in lung compliance to 25 per cent; and increased dead space.

  •  
  • Tachypnoea (respiratory rate >60/minute);
  • Nasal flaring (from the use of alae nasi as accessory muscles);
  • Sternal and intercostal recession (due to the compliant chest wall and noncompliant lungs);
  • Central cyanosis;
  • Apnoea;
  • Expiratory grunt (caused by the infant exhaling against a closed glottis, which maintains a high residual air volume in the lungs preventing alveolar collapse).

Diagnosis is confirmed by history, blood gases showing impaired respiratory function, and an X-ray demonstrating the classic reticulogranular or ‘ground glass’ appearance and air bronchograms (radiolucent air-filled airways).

 

Primary nursing care plan for respiratory distress in a newborn

 

  • Progressive and high-frequency respiratory insufficiency
  • Breathlessness due to immaturity
  • Atelectasis of the lungs
  • Other diagnosis associated with nursing care
  • Varying degrees of tachypnea
  • Nasal flaring
  • Retractions
  • Moaning
  • Cyanosis

Where the apnoea may result secondary to the hypoxemia and respiratory failure. And also in some cases, there’s evidence of reduced vascular murmur due to the severity and due to the disseminated micro atelectasis.

By observing the severity of respiratory distress, an intensive nursing care plan for respiratory distress is needed to prevent and to decrease the mortality rate.

The condition can be prevented, or the severity reduced, by antenatal administration of betamethasone. The course of the disease is altered by exogenous surfactant therapy and assisted ventilation.

Attention to thermoregulation and oxygenation can decrease the severity of RDS.

 

Non-respiratory management of RDS

Temperature control is an important facet of the care of the infant with respiratory distress and both hypothermia and hyperthermia should be avoided. The temperature should be maintained in the neutral thermal range.

Internal feeding should generally be avoided in infants with significant respiratory distress (oxygen requirements greater than 35 per cent). During the initial stabilisation, intravenous fluid therapy is useful if it can be started easily but premature infants do not necessarily require an IV immediately. Exposure to manipulation and cold stress may do more harm than good in this situation. Attention to the prevention of hypoglycaemia is, however, an important part of an ongoing nursing care plan for acute respiratory failure.

Minimal handling is important and can be facilitated by the use of monitors to help assess the infant’s status (cardiorespiratory, temperature and oxygen saturation monitors should be used whenever possible).

Antibiotics – commence penicillin and gentamicin therapy after initial investigations.

 

Respiratory management of RDS

Airway
Placing the unwell infant in the prone position rather than supine may provide a clear airway. Ensure the infant has full cardiorespiratory and saturation monitoring when placing prone. Repeated suctioning of the pharynx is not required and may cause apnoea and hypoxia.

OxygenBoth too much and too little oxygen are bad for preterm infants, hypoxia is much more dangerous over the short period while awaiting transport.

 

Monitoring of oxygen

Capillary acid-base status (CAB) allows monitoring of pCO2 and pH. High pCO2>70 is an indication for intubation 

Arterial blood gases (ABG) – accurate assessments can be made from samples taken from indwelling arterial lines which are usually performed in an intensive care setting, aiming to keep pO2 between 50 and 80 mm Hg. Assessment of oxygen requirements from arterial ‘stabs’ is not reliable.

Non-invasive monitoring – oxygen saturation monitors may be attached to the infant’s right hand (pre-ductal). The desired range for infants is 91 – 95 percent.

Cyanotic threshold – keep the ambient oxygen concentration 5 to 10 percent above the level at which the infant is noted to be cyanosed if saturation monitoring is unavailable.
 

Administration of oxygen

Oxygen concentrations up to 40 per cent may be achieved through the oxygen port into an incubator.

Above 40 per cent is achieved using warmed, humidified gas delivered via a headbox if CPAP is not available. If using a headbox, flow rates of at least 8-10 l/min are required to avoid rebreathing of carbon dioxide.

 

Pharmaceutical management

Surfactant administration should be considered in any premature intubated infant with a presumed diagnosis of RDS.

 

Dosages

Initial recommended dose is 200 mg/kg/dose (2.5  mL/kg), up to 2 repeat doses of 100 mg/kg may be considered at 12 hourly intervals.

Nursing care plan for acute respiratory failure 

 

  • Identifying and treating the cause and other related symptoms.
  • Administering the oxygen as prescribed by the physician in an appropriate way
  • Placing the infant in a prone position to clear the airway
  • Restricting the fluid intake as prescribed
  • Providing respiratory treatment as described
  • Injecting the surfactants with proper dosage

Documentation guidance

  • Respiratory status of the infant is recorded
  • The vital signs are evaluated
  • To rule out any complications or side effect
  • Documenting the response to treatment.

As the patient recovery is ensured by a post-operative nursing care plan for lower respiratory tract infection and nursing care plan for upper respiratory tract infection, post-operative care becomes the vital element of the curing process. Postoperative nursing care plan for lower respiratory tract infection and nursing care plan for upper respiratory tract infection for individuals might be easy and may be short term or long term and may entail some procedure.

From the warmth of her/his home, a patient is much better off, more so if long term nursing care is required for recovery. Aiding this kind of care is our care team of home services. Included in service are our group of nurses and other caregivers as needed. They would come and visit you and offer good care within the confines of your home. Therefore, if you require care at home, look no further and reach out to us.

Nursing care plan for Respiratory distress in newborn syndrome

 

Respiratory distress syndrome is also known as hyaline membrane disease (HMD). It causes the greatest risk in premature infants. Respiratory distress syndrome (RDS) is the condition when the neonate has difficulty breathing due to surfactant deficiency at birth. It is the commonest clinical problem faced by preterm infants and is directly proportional to structurally immature and surfactant-deficient lungs.

Progressive and high-frequency respiratory insufficiency, breathlessness due to immaturity and atelectasis of the lungs characterize the RDSNB. It is reported that although it has been linked to a qualitative and quantitative dysfunction of the pulmonary surfactant system, its replacement has been associated with a sustained improvement in lung function and a reduction in the mortality rate

  • Low gestational age
  • Impaired synthesis of pulmonary surfactant
  • Prematurity of the lungs structurally and functionally
  • terminal alveoli with insufficient surfactants

The gestational age is the main risk factor in causing respiratory distress syndrome. The preterm infants will be with immature lungs and with insufficient surfactants which leads to increased surface tension in the alveoli and reduced lung compliance, leading to increased work of breathing; hypoventilation, leading to respiratory acidosis; increased intrapulmonary shunting and severe hypoxaemia; fall in lung compliance to 25 per cent; and increased dead space.

    •  
    •  
  • Tachypnoea (respiratory rate >60/minute);
  • Nasal flaring (from the use of alae nasi as accessory muscles);
  • Sternal and intercostal recession (due to the compliant chest wall and noncompliant lungs);
  • Central cyanosis;
  • Apnoea;
  • Expiratory grunt (caused by the infant exhaling against a closed glottis, which maintains a high residual air volume in the lungs preventing alveolar collapse).

Diagnosis is confirmed by history, blood gases showing impaired respiratory function, and an X-ray demonstrating the classic reticulogranular or ‘ground glass’ appearance and air bronchograms (radiolucent air-filled airways).

 

Primary nursing care plan for respiratory distress in a newborn

 

  • Progressive and high-frequency respiratory insufficiency
  • Breathlessness due to immaturity
  • Atelectasis of the lungs
  • Other diagnosis associated with nursing care
  • Varying degrees of tachypnea
  • Nasal flaring
  • Retractions
  • Moaning
  • Cyanosis

Where the apnoea may result secondary to the hypoxemia and respiratory failure. And also in some cases, there’s evidence of reduced vascular murmur due to the severity and due to the disseminated micro atelectasis.

By observing the severity of respiratory distress, an intensive nursing care plan for respiratory distress is needed to prevent and to decrease the mortality rate.

The condition can be prevented, or the severity reduced, by antenatal administration of betamethasone. The course of the disease is altered by exogenous surfactant therapy and assisted ventilation.

Attention to thermoregulation and oxygenation can decrease the severity of RDS.

 

Non-respiratory management of RDS

Temperature control is an important facet of the care of the infant with respiratory distress and both hypothermia and hyperthermia should be avoided. The temperature should be maintained in the neutral thermal range.

Internal feeding should generally be avoided in infants with significant respiratory distress (oxygen requirements greater than 35 per cent). During the initial stabilisation, intravenous fluid therapy is useful if it can be started easily but premature infants do not necessarily require an IV immediately. Exposure to manipulation and cold stress may do more harm than good in this situation. Attention to the prevention of hypoglycaemia is, however, an important part of an ongoing nursing care plan for acute respiratory failure.

Minimal handling is important and can be facilitated by the use of monitors to help assess the infant’s status (cardiorespiratory, temperature and oxygen saturation monitors should be used whenever possible).

Antibiotics – commence penicillin and gentamicin therapy after initial investigations.

 

Respiratory management of RDS

Airway
Placing the unwell infant in the prone position rather than supine may provide a clear airway. Ensure the infant has full cardiorespiratory and saturation monitoring when placing prone. Repeated suctioning of the pharynx is not required and may cause apnoea and hypoxia.

OxygenBoth too much and too little oxygen are bad for preterm infants, hypoxia is much more dangerous over the short period while awaiting transport.

 

Monitoring of oxygen

Capillary acid-base status (CAB) allows monitoring of pCO2 and pH. High pCO2>70 is an indication for intubation 

Arterial blood gases (ABG) – accurate assessments can be made from samples taken from indwelling arterial lines which are usually performed in an intensive care setting, aiming to keep pO2 between 50 and 80 mm Hg. Assessment of oxygen requirements from arterial ‘stabs’ is not reliable.

Non-invasive monitoring – oxygen saturation monitors may be attached to the infant’s right hand (pre-ductal). The desired range for infants is 91 – 95 percent.

Cyanotic threshold – keep the ambient oxygen concentration 5 to 10 percent above the level at which the infant is noted to be cyanosed if saturation monitoring is unavailable.
 

Administration of oxygen

Oxygen concentrations up to 40 per cent may be achieved through the oxygen port into an incubator.

Above 40 per cent is achieved using warmed, humidified gas delivered via a headbox if CPAP is not available. If using a headbox, flow rates of at least 8-10 l/min are required to avoid rebreathing of carbon dioxide.

 

Pharmaceutical management

Surfactant administration should be considered in any premature intubated infant with a presumed diagnosis of RDS.

 

Dosages

Initial recommended dose is 200 mg/kg/dose (2.5  mL/kg), up to 2 repeat doses of 100 mg/kg may be considered at 12 hourly intervals.

Nursing care plan for acute respiratory failure 

 

  • Identifying and treating the cause and other related symptoms.
  • Administering the oxygen as prescribed by the physician in an appropriate way
  • Placing the infant in a prone position to clear the airway
  • Restricting the fluid intake as prescribed
  • Providing respiratory treatment as described
  • Injecting the surfactants with proper dosage

Documentation guidance

  • Respiratory status of the infant is recorded
  • The vital signs are evaluated
  • To rule out any complications or side effect
  • Documenting the response to treatment.

As the patient recovery is ensured by a post-operative nursing care plan for lower respiratory tract infection and nursing care plan for upper respiratory tract infection, post-operative care becomes the vital element of the curing process. Postoperative nursing care plan for lower respiratory tract infection and nursing care plan for upper respiratory tract infection for individuals might be easy and may be short term or long term and may entail some procedure.

From the warmth of her/his home, a patient is much better off, more so if long term nursing care is required for recovery. Aiding this kind of care is our care team of home services. Included in service are our group of nurses and other caregivers as needed. They would come and visit you and offer good care within the confines of your home. Therefore, if you require care at home, look no further and reach out to us.

Conditions We Treat

How We Made A Difference

  • nursing care plan for respiratory distress in newborn , Respiratory Care  worst service, they just talk as if they will send professional at our place, they give big promises at the time of starting their services, but when the attendant come at our place we realized that he was more delicate than our patient, the person whom they had sent got a small scratch in his finger and than the same day he said he wont come as he got injury, so the next day he dint turn up neither did care24 arrange for a replacement, after calling them for 4 times they said me sorry they couldn't arrange anyone today. they don not have the decency to even inform that they cannot arrange for a replacement.. please do not go for their services, its just the promises nothing to deliver

    nursing care plan for respiratory distress in newborn , Respiratory Care Komal Patel
    4/11/2019
  • nursing care plan for respiratory distress in newborn , Respiratory Care  My father had a hip bone surgery in January. I have been using Care24 services ever since. The attendants that cane were good in the beginning. However their services have become good to bad to worse to worst in the last 15 days. They changed the night attendant without informing me personally just 6 hours before the time. My father had just settled down with the last attendant and now they were sending a replacement tonight. To add to my frustration the guy didn’t turn up and did not answer the calls. When I called their call centre - they said they can’t help me at this hour. Well- I can’t help but call them CARELESS CARE24.

    nursing care plan for respiratory distress in newborn , Respiratory Care Jasbir Basu
    4/06/2019
  • nursing care plan for respiratory distress in newborn , Respiratory Care  We contacted care 24 for my Dad's physiotherapy. Our physiotherapist Dr Dharita is very knowledgeable and extremely patient. My Dad is showing a lot for improvement in terms of his movement.

    nursing care plan for respiratory distress in newborn , Respiratory Care D W
    3/21/2019
  • nursing care plan for respiratory distress in newborn , Respiratory Care  I got good experience wt dr Dhrita she is v good in physiotherapy n nice while talking n explains v nice

    nursing care plan for respiratory distress in newborn , Respiratory Care Sujata Rao
    6/19/2019
  • nursing care plan for respiratory distress in newborn , Respiratory Care  If there was an option of negative stars then I would have choosen it. They offered me a package of₹ 5950/- for 10 days and after 2 days updated me on new package of ₹5700/- for 7 days without my consent. Even deposited my earlier cheque and then I had to follow up for the balance for about 10 days explaining my issue everyday to the new person on their helpline. They don't acknowledge emails too. Worst experience and definitely not recommended

    nursing care plan for respiratory distress in newborn , Respiratory Care Mugdha Kulkarni
    5/23/2019

nursing care plan for respiratory distress in newborn , Respiratory Care

100,000+

Happy Patients

nursing care plan for respiratory distress in newborn , Respiratory Care

4

Years Of Experience

nursing care plan for respiratory distress in newborn , Respiratory Care

200+

Strong Team

nursing care plan for respiratory distress in newborn , Respiratory Care

5

Cities We Operate In

nursing care plan for respiratory distress in newborn , Respiratory Care

100,000+

Happy Patients

nursing care plan for respiratory distress in newborn , Respiratory Care

4

Years Of Experience

nursing care plan for respiratory distress in newborn , Respiratory Care

200+

Strong Team

nursing care plan for respiratory distress in newborn , Respiratory Care

5

Cities We Operate In

Frequently Asked questions

  • When recovering from an illness or surgery, you look forward to returning to your own home and recuperating in an environment where you are comfortable, relaxed and safe. This is made possible with our in-home nursing services.
  • Care needs of those who are advanced in age and are unable to take care of themselves can be an overwhelming task for the rest of the family members. This often leads to the thought that a nursing home/care home is the only practical option left.
  • Complex care needs might make one want to consider moving to a nursing home to recover under the watch of trained professionals. Our in-home nursing services can help you recover in the comfort of your own home.
    Our in-home nursing services will help smoothen-out the transition from Hospital to Home
  • Recovery in familiar surroundings, surrounded by family, is proven to be quicker
  • Our nurses take care of your complex needs while helping you maintain your independence, lifestyle and daily routine.
  • Home care nursing helps those advanced in age too; for them home is where all their memories are, where their children and grand-children live. It is the place they feel needed and loved.
    With our home care nursing services, you can provide the best care for your loved one in the family home, without making any extra demands of your family members.

Care24’s trained nurses provide high quality home care nursing services for hospital like care at home. Whether you are looking for simple support in doing everyday tasks when recovering or need complex care that can be daunting for family members to undertake. Our nurses are highly trained medical professionals capable of providing hospital-like care in the comfort of your own home.

Our nurses are experienced in providing a complete range of nursing care specializations:

  • Taking medicines on time, monitoring blood pressure and other vitals, and fixing a diet plan
  • Oral and personal hygiene, feeding and bathroom assistance, or assistance with mobility
  • Caring and dressing wounds, handling IV infusions and other medical equipment, emptying catheter bags, colostomy bags and bed pans
  • Our nurses (females) or brothers (males) are highly qualified, experienced, and capable of providing hospital like nursing care in the comfort of your own home. All our Nurses go through a rigorous background check, a written exam and trained in all medical procedures that are listed below to ensure you get expert & professional in-home nursing services.
  • Our Nurses are medically qualified with BSc, GNM, or ANM degrees, and many years of experience with leading hospitals. Since each case is unique and may require specific skills, we also ensure that we identify and deploy which nurse will be best for your need.
  • Our nurses and brothers are discreet, and sensitive to the emotional and physical needs of the patient and other family members. Our Nurses are familiar with following a physician’s instructions when caring for a patient and empathic to offer encouragement and support to those who require our nursing care services.

You can fill a request form on our website or download our app and simply click a button to request a Nurse.

Provide us with medical details of the patient who needs nursing care, the tasks the nurse needs to do, the duration for which you need our in-home nursing services and your preferences of gender or language if any.

Our team will connect with you to confirm your requirement and send a nurse to take care of the patient. All our nurses are uniformed and carry identification to help you know that you are indeed letting a trained professional from Care24 into your home.