And then monitor respiratory patterns like bradypnea, tachypnea, hyperventilation, Kussmaul respiration, Cheyne-Stokes respiration etc. Tuberculosis Nursing Care Plan Ineffective Airway Clearance by Nursing Care Plan : Ineffective airway clearance r/t secretions in the . Administer oxygen at the lowest concentration depending on the underlying pulmonary condition and respiratory distress. It is important to take action when there is an alteration in the pattern of breathing to detect early signs of respiratory compromise. Maintain emergency equipment that is readily accessible in one location. Alteration of patient’s usual O2/CO2 ratio 2. Decreased energy 4. Ineffective breathing pattern is associated with many factors as causing agents. Ineffective breathing is exhibited when there is a state of low breathing rate, reduced depth, timing, and rhythm of breathing is altered. Observe for retractions or flaring of nostrils. Thank You Food pushed out of mouth 7. Hypoxia 7. Premature entry of bolus 1… The respiratory system cannot be considered healthy when there is an ineffective airway. Most importantly, the nurse should point out to the patient on the lifestyle causative agents that needs to be addressed through a behavioral change such as smoking. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. A sitting position permits maximum lung excursion and chest expansion. Avoid gas-forming foods that may lead to abdominal distention. Assess ABG levels, according to facility policy. Abnormal oral phase of swallow study 2. Using the Nursing Care Plan provided identify one issue related to either breathing or controlling body. Anxiety 3. Encourage use of incentive spirometry, as appropriate. of nursing professionals. When the abdominal wall excursion during inspiration, expiration, or both do not maintain optimum ventilation for the individual, the nursing diagnosis Ineffective Breathing Pattern is one of the issues nurses need to focus on. Nursing Care Plan. Besides, the patient should demonstrate a general coping behavior by acting to avoid the causing agents of the breathing problems such as lack of physical exercises. Spinal cord injury 13. High-pitched, musical breathing sound caused by a blockage in the throat or voice box (larynx). Learn breathing techniques. Patient will establish normal breathing patterns by discharge. More importantly, after the nursing care, the patient should verbalize an awareness of the causative factors of the problem and demonstrate the plan of action to change the lifestyle. Patients require a thorough nursing assessment and nursing care that is tailored to alleviate their distress. Keep away from high concentration of oxygen in patients with chronic obstructive pulmonary disease (COPD). 1. Patient’s ABG levels return to and remain within established limits. Respirations fall below 12 breaths per minute depending on the age of patient. These allow sufficient mobilization of secretions. Encourage the patient to have deeper respiration, which helps him/her to take control of the breathing. Stay with the patient during acute episodes of respiratory distress. Sometimes anxiety can cause dyspnea, so watch the patient for “air hunger” which is a sign that the cause of shortness of breath is physical. Paradoxical movement of the abdomen (an inward versus outward movement during inspiration) is indicative of respiratory muscle fatigue and weakness. Perception or cognitive impairment 12. Apneusis and ataxic breathing are related with failure of the respiratory centers in the pons and medulla. The following are the common goals and expected outcomes. 25 26 27. Another factor that is associated with ineffective breathing patterns is the lack of physical exercise. When the breathing pattern is ineffective, the body is most likely not getting enough oxygen to the cells. Determine if it is acidosis or alkalosis. From a dozen medical studies done, it has emerged that a weak breathing pattern is associated with chronic diseases. Pain 11. Nursing Care Plan for: Ineffective Breathing Pattern, Dyspnea, Respiratory Distress Syndrome, Hypoxia, Acute Respiratory Failure, Hypoxemia, and Respiratory Illness Exercise promotes conditioning of respiratory muscles and patient’s sense. Fatigue 6. Note for changes in level of consciousness. The nursing care for a patient suffering from ineffective breathing should improve the state of the patient to restore the breathing pattern and alleviate the symptoms. Activity Intolerance. Incorporate review of metered-dose inhaler and nebulizer treatments, as needed. Inflammatory process: viral or bacterial 8. 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