Nurses Responsibility When a Patient is Vomiting

NURSE’S RESPONSIBILITY TO A PATIENT WHO IS VOMITING (AN EMETIC PATIENT).

  1. It is the duty of the nurse to observe the character of the vomitus e.g. the consistency, colour, odour whether ejected forcibly or gradually.
  2. The nurse also collects the specimen, in a sterile or clean container, ensures that the lab form is properly filled and signed by the doctor, write out the time of collection of the specimen.
  3. Sends the specimen to lab on time and make sure the result is collected for the doctor to see for prompt diagnosis and treatment.

 

SPUTUM SPECIMEN

Sputum is the collected secretions and debris of the respiratory airways, coughed up and expectorated through the mouth.  Sputum is composed of several substances that vary according to the individual.

It contains mucus, cellular and microbial debris mixed with saliva.  Because it originates in the deep airways of the lungs, sputum contains cells that provide clues to the client’s disorders as well as bacteria if an infection is present.

COLLECTING A SPUTUM SPECIMEN BY CLIENT’S EXPECTORATION:

Equipment needed:

  1. Sputum container with a tight cover
  2. Facial tissues
  3. Identification label
  4. Laboratory requisition form

METHOD:

  1. Explain to the client what will be done, instruct in whatever way is necessary.
  2. Wash hands

iii.  Draw the bedside curtains or close the door to the room if the client desires privacy.

  1. Screen the bed if patient is not ambulant.
  2. Encourage client to cough out secretions into the sputum mug and cover
  3. Make client comfortable

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