1. Ineffective airway clearance
related to: increased production of secretions.
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related to: increased production of secretions.
Major: (Must be present) | (_) Ineffective cough. (_) Inability to remove airway secretions. |
Minor: (May be present) | (_) Abnormal breath sounds. (_) Abnormal respiratory rate, rythm, depth. |
Date & Sign. | Plan and Outcome[Check those that apply] | Target Date: | Nursing Interventions[Check those that apply] | Date Achieved: |
The patient will:
(_) Maintain patent airway A.E.B.:
(_) Other:
| (_) Assess respiratory rate, depth, rythm, effort, and breath sounds q ___ hours.
(_) Position: HOB elevated ___ degrees.
(_) Promote optimum level of activity for best possible lung expansion:
(_) Suction q ___ hours (and prn) per:
(_) Encourage fluids when indicated.
(_) Other:________________
________________________ ________________________ ________________________ |
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