Asthma Nursing Care Plan - Ineffective Breathing Pattern
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Medical Diagnosis: Bronchial Asthma Problem: Ineffective Breathing Pattern RT Presence of Secretions Assessment Nursing Diagnosis Scientific Explanation Planning Interventions Rationale Evaluation Subjective: (none) Objective: wheezing upon inspiratio n and expiration dyspnea coughing, sputum is yellow and sticky tachypnea, prolonged expiration tachycardi a chest tightness suprastern al retraction restlessne ss anxiety cyanosis loss of consciousn Ineffective breathing pattern r/t presence of secretions AEB productive cough and dyspnea Presence of secretions in the bronchi will result into a blockage of air that will enter the body and thus producing insufficient air needed by the body. And inability to maintain clear airway. This obstruction is further heightened by bronchospasm due to the contraction of the smooth muscles in the bronchi. This is caused by parasympathet ic Choose: Patient will demonstrate pursed-lip breathing and diaphragmatic breathing. Patient will manifest signs of decreased respiratory effort AEB absence of dyspnea Patient will verbalize understanding of causative factors and demonstrate behaviors that would improve breathing pattern 1. Establish rapport. 2. assess pt.’s condition 3. VS monitor and record 4. Auscultate breath sounds and assess airway pattern 5. Elevate head of the bed and change position of the pt. every 2 hours. 6. Encourage deep breathing and coughing exercises. 7. Demonstrate diaphragmat ic and 1. To gain pt.’s trust. 2. To obtain baseline data 3. Serve to track important changes 4. to check for the presence of adventitio us breath sounds 5. To minimize difficulty in breathing 6. To maximize effort for expectorat ion. 7. To Patient will demonstrate pursed-lip breathing and diaphragmatic breathing. Patient will manifest signs of decreased respiratory effort AEB absence of dyspnea Patient will verbalize understanding of causative factors and demonstrate behaviors that would improve breathing pattern (change will to shall then
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Transcript of Asthma Nursing Care Plan - Ineffective Breathing Pattern
Medical Diagnosis: Bronchial AsthmaProblem: Ineffective Breathing Pattern RT Presence of Secretions
Assessment Nursing Diagnosis
Scientific Explanation
Planning Interventions Rationale Evaluation
Subjective:(none)
Objective: wheezing upon
inspiration and expiration
dyspnea coughing,
sputum is yellow and sticky
tachypnea, prolonged expiration
tachycardia chest tightness suprasternal
retraction restlessness anxiety cyanosis loss of
consciousness
Ineffective breathing pattern r/t presence of secretions AEB productive cough and dyspnea
Presence of secretions in the bronchi will result into a blockage of air that will enter the body and thus producing insufficient air needed by the body. And inability to maintain clear airway. This obstruction is further heightened by bronchospasm due to the contraction of the smooth muscles in the bronchi. This is caused by parasympathetic stimulation of the muscarinic2 receptors as well as by chemical mediators released in response to the presence of allergen.
Choose:Patient will demonstrate pursed-lip breathing and diaphragmatic breathing.
Patient will manifest signs of decreased respiratory effort AEB absence of dyspnea
Patient will verbalize understanding of causative factors and demonstrate behaviors that would improve breathing pattern
1. Establish rapport.
2. assess pt.’s condition
3. VS monitor and record
4. Auscultate breath sounds and assess airway pattern
5. Elevate head of the bed and change position of the pt. every 2 hours.
6. Encourage deep breathing and coughing exercises.
7. Demonstrate diaphragmatic and pursed-lip breathing.
8. Encourage increase in fluid intake
9. Encourage opportunities for rest and limit physical activities.
10. Reinforce low salt, low fat diet as ordered.
1. To gain pt.’s trust.
2. To obtain baseline data
3. Serve to track important changes
4. to check for the presence of adventitious breath sounds
5. To minimize difficulty in breathing
6. To maximize effort for expectoration.
7. To decrease air trapping and for efficient breathing.
8. To prevent fatigue.
9. To prevent situations that will aggravate the condition
10. To mobilize secretions.
Patient will demonstrate pursed-lip breathing and diaphragmatic breathing.
Patient will manifest signs of decreased respiratory effort AEB absence of dyspnea
Patient will verbalize understanding of causative factors and demonstrate behaviors that would improve breathing pattern
(change will to shall then shift to past tense)
