| ¡@ |     Respiratory                               Nursing |                              |                              |                                       
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                                                     |                                                         |                                                       Nursing Care of Clients with Respiratory Problem Undergoing Surgical Intervention |                              ¡@ |   
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          |        |                Pre-operative Assessment                            |                                                                                      |                                  |                                 ¡@ |      
           |      |         |                            | 1. |         History |                       |         -	Family history |                          |         -	Pre-existing disease, e.g. DM, IHD, COAD, TB, Cardiac illness, HT, any infection |                          |         -	Smoking and drink alcoholic history |                          |         -	Decreased exercise tolerance |                          |          |                  |                                           |                 |                ¡@ |       
                |                              | 2. |         Assessment |                       |         -	Physical examination through inspection, palpation, percussion and auscultation. |                          |          |                  |              |             |            ¡@ |        
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                 |                   |                                |         3. |         	Investigation |                       |                 -	CXR       -	ECG |                          |              -	Blood tests, e.g.  |                                                           |                                                                                       Na/K, CBP, INR |                                                              |                                            ABG |                                                                |                                                           |                                      -	Lung Function Test                   -	Fiber-optic Bronchoscopy, e.g. lesion, fistula, stricture, obstruction                   -	CT Scan                  -	Lung Perfusion Scan                   -	Fine Needle Aspiration                  -	Echocardiogram                   -	Sputum, cytology |                                                         |                              |                             ¡@ |               
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