The diaphragm separates the thoracic and abdominal cavities.
The nurse is teaching a patient who is diagnosed with aortic stenosis the importance of attempting to relieve the symptom of angina without drugs, so the nurse should teach the patient to rest and relax before taking nitroglycerin.
<h3>What is nitroglycerin?</h3>
Nitroglycerin is used to prevent chest pain (angina) that is caused by coronary artery disease. In addition, nitroglycerin is used to relieve an angina attack that is already occurring.
This medicine belongs to the group of nitrates (vasolidator medications). Nitroglycerin works by relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its work load. When it is used regularly on a long-term basis, or right before exercise or a stressful event, it helps prevent angina attacks from occurring.
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A manual resuscitation bag to give the client big breaths before beginning by the student nurse will require additional instruction by the nurse.
What is Tracheostomy?
- Tracheostomy may be a surgical procedure which consists of making an incision in the front(anterior aspect) of the neck and opening a direct airway through an incision in the trachea.
- This tube allows an individual to breathe without the use of the nose or mouth. As a result, stoma (hole) can serve independently as an airway or as a site for a tracheal tube or tracheostomy tube to be inserted.
- In the chronic (long-term) setting, indications for tracheotomy include the necessity for long-term mechanical ventilation and tracheal toilet (e.g., comatose patients, extensive surgery involving the top and neck).
- Tracheotomy may end in a significant reduction in the administration of sedatives and vasopressors, also as the duration of stay in the intensive care unit (ICU).
- In extreme cases, the procedure could also be indicated as a treatment for severe obstructive sleep apnea (OSA) seen in patients intolerant of continuous positive airway pressure (CPAP) therapy.
- The reason tracheostomy works well for OSA is because it is the only surgical procedure that completely bypasses the upper airway. This procedure was commonly performed for obstructive apnea until the 1980s, when other procedures like the uvulo palato pharyngoplasty, genioglossus advancement, and maxillomandibular advancement surgeries were described as alternative surgical modalities for OSA.
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