Ineffective Breathing Patterns
Ineffective Breathing Patterns
(_)Actual (_) Potential
| (_) Allergic response (_) Anesthesia (_) Aspiration (_) COPD (_) Decreased lung compliance (_) Fatigue (_) History of smoking | (_) Immobility (_) Medications (narcotics, sedatives, analgesics) (_) Neuromuscular impairment (eg. MS, Guillain-Barre) (_) Surgery or trauma (_) Pain (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major: (Must be present) | (_) Changes is respiratory rate or pattern from baseline. (_) Changes in pulse (rate, rythm). |
| Minor: (May be present) | (_) Orthopnea (_) Tachypnea (_) Hyperpnea (_) Splinted, guarded respirations. |
| Date & Sign. | Plan and Outcome [Check those that apply] | Target Date: | Nursing Interventions [Check those that apply] | Date Achieved: |
| The patient will: (_) Demonstrate an effective respiratory rate, depth, and pattern A.E.B.:
(_) Other: | (_) Assess color, respiratory rate, depth, effort, rythm and breath sounds q ___ hours. (_) Position to facilitate optimum breathing patterns:
(_) Cough and deep breath q ___ hours. (_) Increase activity as tolerated to promote maximum diaphragmatic excursion: _______________ (_) Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
Friday, May 16, 2008
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Labels:
care plan
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This entry was posted on Friday, May 16, 2008
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