The nursing care plan involves assessing and diagnosing a patient with retained secretions in the respiratory tract due to a bacterial infection. The objective findings include murmurs upon auscultation of the right lobe. The plan is to provide interventions over 4 hours such as deep breathing exercises, positioning, chest physiotherapy, increased fluids and rest to mobilize the secretions and establish an effective airway. The patient's status and progress will be monitored and evaluated.
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NCP Ineffective Airway Clearance Related To The Accumulation of Secretions As Evidence by Decrease in Respiratory Rate and NGT and ET Tube Attached and Crackles at The Left Base of The Lungs
The nursing care plan involves assessing and diagnosing a patient with retained secretions in the respiratory tract due to a bacterial infection. The objective findings include murmurs upon auscultation of the right lobe. The plan is to provide interventions over 4 hours such as deep breathing exercises, positioning, chest physiotherapy, increased fluids and rest to mobilize the secretions and establish an effective airway. The patient's status and progress will be monitored and evaluated.
The nursing care plan involves assessing and diagnosing a patient with retained secretions in the respiratory tract due to a bacterial infection. The objective findings include murmurs upon auscultation of the right lobe. The plan is to provide interventions over 4 hours such as deep breathing exercises, positioning, chest physiotherapy, increased fluids and rest to mobilize the secretions and establish an effective airway. The patient's status and progress will be monitored and evaluated.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
The nursing care plan involves assessing and diagnosing a patient with retained secretions in the respiratory tract due to a bacterial infection. The objective findings include murmurs upon auscultation of the right lobe. The plan is to provide interventions over 4 hours such as deep breathing exercises, positioning, chest physiotherapy, increased fluids and rest to mobilize the secretions and establish an effective airway. The patient's status and progress will be monitored and evaluated.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
Sub[ect|ve 1he paLlenL verballzed ag ubo ko may lumalabas na plema na may konLlng dugo"
Cb[ect|ve Murmurs heard upon ausculLaLlo n on Lhe rlghL lobe
lneffecLlve alrway clearance relaLed Lo reLalned secreLlons secondary Lo bacLerlal lnfecLlon as evldenced by murmurs heard upon ausculLaLlon
8acLerlal lnfecLlon of Lhe resplraLory sysLem
lnflammaLor y response
8eLalned secreLlons ln Lhe resplraLory LracL
AfLer 4hours of nurslng lnLervenLlon Lhe paLlenL wlll be able Lo have a paLenL alrway Lhrough Lhe moblllzaLlon of secreLlons as evldenced by producLlve cough Check vlLal slgns
MonlLor resplraLlons and breaLh sounds
Lncourage deep breaLhlng and explraLory maneuvers (Laklng a deep breaLh and coughlng)
lncrease fluld lnLake
oslLlon paLlenL approprlaLely
erform chesL physloLherap y
8asellne daLa
May lndlcaLe resplraLory dlsLress or accumulaLl on of secreLlons
1o maxlmlze efforL
hydraLlon can help llquefy vlscous secreLlons And lmprove secreLlon clearance
1o prevenL vomlLlng and asplraLlon ln Lhe lungs
1o help paLlenL breaLhe freely and Lo geL more AfLer 4 hours of nurslng lnLervenLl on Lhe paLlenL was able Lo have an effecLlve alrway
NCP Ineffective Airway Clearance Related To The Accumulation of Secretions As Evidence by Decrease in Respiratory Rate and NGT and ET Tube Attached and Crackles at The Left Base of The Lungs