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Showing posts with label Ineffective Airway Clearance. Show all posts
Showing posts with label Ineffective Airway Clearance. Show all posts

11 Feb 2014

1. Ineffective airway clearance: Bronchitis Nursing Care Plans

1. Ineffective airway clearance
related to: increased production of secretions.
As evidenced by:[Check those that apply]
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.:
  • Clear breath sounds or breath sounds consistent with own baseline.
  • Respirations easy and un-labored.
  • Normal resp. rate.
(_) 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:
  • Ambulate q ___ for ___ min.
  • Chair q ___ for ___ min.
  • Turn/reposition q ___.
(_) Suction q ___ hours (and prn) per:
  • Nasal
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