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    NCP Ineffective Breathing Actual

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    Arian May Marcos
    The patient was experiencing ineffective breathing patterns related to pediatric community acquired pneumonia. Nursing interventions included assessing respiratory rate and depth every 4 hours, monitoring for use of accessory muscles and retractions, evaluating nutritional status, and positioning the patient in proper body alignment. Within 30 minutes to 1 hour, the patient was able to maintain an effective breathing pattern. Within 24-48 hours, the patient verbalized feeling comfortable when breathing. Nursing education focused on proper breathing techniques, medication administration, and promoting participation in health maintenance.

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    NCP Ineffective Breathing Actual

    Uploaded by

    Arian May Marcos
    1K views3 pages
    The patient was experiencing ineffective breathing patterns related to pediatric community acquired pneumonia. Nursing interventions included assessing respiratory rate and depth every 4 hours, monitoring for use of accessory muscles and retractions, evaluating nutritional status, and positioning the patient in proper body alignment. Within 30 minutes to 1 hour, the patient was able to maintain an effective breathing pattern. Within 24-48 hours, the patient verbalized feeling comfortable when breathing. Nursing education focused on proper breathing techniques, medication administration, and promoting participation in health maintenance.

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    NCP INEFFECTIVE BREATHING ACTUAL

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    The patient was experiencing ineffective breathing patterns related to pediatric community acquired pneumonia. Nursing interventions included assessing respiratory rate and depth every 4 hours, monitoring for use of accessory muscles and retractions, evaluating nutritional status, and positioning the patient in proper body alignment. Within 30 minutes to 1 hour, the patient was able to maintain an effective breathing pattern. Within 24-48 hours, the patient verbalized feeling comfortable when breathing. Nursing education focused on proper breathing techniques, medication administration, and promoting participation in health maintenance.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views3 pages

    NCP Ineffective Breathing Actual

    Uploaded by

    Arian May Marcos
    The patient was experiencing ineffective breathing patterns related to pediatric community acquired pneumonia. Nursing interventions included assessing respiratory rate and depth every 4 hours, monitoring for use of accessory muscles and retractions, evaluating nutritional status, and positioning the patient in proper body alignment. Within 30 minutes to 1 hour, the patient was able to maintain an effective breathing pattern. Within 24-48 hours, the patient verbalized feeling comfortable when breathing. Nursing education focused on proper breathing techniques, medication administration, and promoting participation in health maintenance.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    EXPLANATION OF

    ASSESSMENT OUTCOMES INTERVENTIONS RATIONALE EVALUATION


    THE PROBLEM
    Subjective: Ineffective breathing STO: Within 30 Dx:Assess and record The average rate of STO: (Goal Met)
    pattern is considered minutes – 1 hour of respiratory rate and respiration for adults is
     “nahihirapan the state in which the effective nursing depth at least every 4 10 to 20 breaths per Within 30 minutes – 1
    huminga ang rate, depth, timing, and interventions, the hours. minute. It is important hour of effective
    anak ko” as rhythm, or the pattern patient’s will be able to take action when nursing interventions,
    verbalized by of breathing is altered. to maintains an there is an alteration inthe patient was able to
    the mother. When the abdominal effective breathing the pattern of breathing maintain an effective
    wall excursion during pattern, as evidenced to detect early signs of breathing pattern, as
    Objective: inspiration, expiration, by relaxed breathing at respiratory compromise. evidenced by relaxed
    or both do not maintain normal rate and depth breathing at normal
     Use of optimum ventilation and absence of Work of breathing rate and depth and
    accessory for the individual. The dyspnea. increases greatly as lung absence of dyspnea.
    muscle. body is most likely not Assess for use of compliance decreases.
     Restlessness getting enough oxygen accessory muscle.
     Labored to the cells. Respiratory These signs signify an
    breathing failure may be increase in respiratory
    correlated with effort. LTO: (Goal Met)
     Vital signs:
    Temp: 37.8 variations in Observe for retractions
    LTO: Within 24 – 48 Within 24 – 48 hours
    respiratory rate, or flaring of nostrils. Malnutrition may result
    PR: 140bpm hours of effective of effective nursing
    abdominal, and in premature
    RR: 69cpm nursing interventions, interventions, the
    thoracic pattern. Evaluate nutritional development of
    O2 Sat: 90 the patient will patient verbalized
    status (e.g., weight, respiratory failure
    verbalize feeling feeling comfortable
    comfortable when
    albumin level, because it reduces
    Source: electrolyte level). respiratory mass and when breathing.
    breathing.
    https://nurseslabs.com/i strength.
    neffective-breathing-
    pattern/ A sitting position
    Tx: Place patient with permits maximum lung
    proper body alignment excursion and chest
    Nursing Diagnosis for maximum expansion.
    breathing pattern.
     Ineffective
    Breathing Provide respiratory Beta-adrenergic agonist
    related to medications and medications relax
    pediatric oxygen, per doctor’s airway smooth muscles
    community order. and cause
    acquired bronchodilation to open
    pneumonia as air passages.
    manifested by
    alterations in Edx: Educate patient This information
    depth of and guardians about promotes safe and
    breathing. medications: effective medication
    indications, dosage, administration.
    frequency, and
    possible side effects.
    Incorporate review of
    metered-dose inhaler
    and nebulizer
    treatments, as needed.

    Educate patient or
    significant other
    proper breathing,
    coughing, and
    splinting methods. These allow sufficient
    mobilization of
    Teach patient about secretions.
    pursed-lip breathing,
    abdominal breathing,
    performing relaxation These measures allow
    techniques, taking patient to participate in
    prescribed medications maintaining health
    (ensuring accuracy of status and improve
    dose and frequency ventilation.
    and monitoring
    adverse effects), and
    scheduling activities to
    avoid fatigue and
    provide for rest
    periods.

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