護理師指導病人使用誘發性肺量計(Incentive Spirometer)。下列哪些指導正確?(選所有適合的)
A nurse is teaching a client about incentive spirometry. Which instructions are accurate? (Select all that apply.)
- AInhale slowly and deeply✓ 正解緩慢且深長地吸氣
- BExhale rapidly into the mouthpiece快速向咬嘴吐氣
- CHold the breath for 3-5 seconds✓ 正解閉氣 3-5 秒
- DUse the device 10 times per hour while awake✓ 正解清醒時每小時使用 10 次
- ESit in a semi-Fowler's position✓ 正解採半坐臥姿勢
誘發性肺量計(Incentive Spirometry)的核心目的是透過「最大吸氣量」來擴張肺泡,預防術後肺不張(atelectasis)。正確的指導包括:病人的姿勢應採半坐臥(semi-Fowler's)以利胸廓擴張;吸氣應緩慢且深,直到達到目標刻度;吸氣後應閉氣 3-5 秒,讓肺泡充分擴張;每小時重複 10 次。吐氣時應移開口部,避免將二氧化碳吹回儀器。
The main purpose of incentive spirometry is to expand alveoli through maximal inspiration in order to prevent postoperative atelectasis. Correct instructions include placing the patient in a semi-Fowler's position to facilitate chest expansion; inhaling slowly and deeply until the target marker is reached; holding the breath for 3-5 seconds to allow full alveolar expansion; and repeating 10 times per hour. The mouth should be removed from the device on exhalation to avoid blowing carbon dioxide back into the device.