Continuous monitoring of VS and oxygen saturation after nasal O2 is applied – if saturations do not improve change to mask and do not rule out possible intubation – elevate HOB to a semi-fowlers position to facilitate easier effort of breathing
Nursing interventions that would be appropriate for Ms J during her admission to the ICU would include the following:
- Continuous monitoring of VS and oxygen saturation after nasal O2 is applied – if saturations do not improve change to mask and do not rule out possible intubation – elevate HOB to a semi-fowlers position to facilitate easier effort of breathing
- Assess for changes in her alertness or signs of confusion or hypoxia
- Observe rhythm for increased ventricular rate with atrial fib and deterioration in cardiac status with ectopy or onset of chest pain
- Provide an environment that allows for rest and decreased anxiety – organize nursing care to facilitate rest periods
- Monitor intake and output for cardiac stability as well as dehydration from the onset of the flu
- Auscultate chest more frequently for breath sounds to determine improvement or deterioration in status
- Administer medications as ordered and assess for prn meds to facilitate reduction in fever, generalized achiness from flu, decrease anxiety and promote rest
