NAME: Usngan, Princess Nasima M.___________ DATE: Oct.

7, 2021_____

DEEP BREATHING EXERCISES

DEFINITION
Deep Breathing exercises hyperventilate the alveoli and prevent them from collapsing again,
improve lung expansion and volume, help to excel anesthetic gases and mucus, and facilitate
oxygenation of tissue.

PURPOSE
To teach the client the deep breathing exercises_____________________________________
____________________________________________________________________________
____________________________________________________________________________

EQUIPMENT
Small pillow, or folded blanket, and PPE as indicated_________________________________
____________________________________________________________________________
____________________________________________________________________________

CONSIDERATIONS BEFORE, DURING and AFTER THE PROCEDURE:

Introduce the self, verify the client’s identity, and document relevant finding._____________
____________________________________________________________________________
____________________________________________________________________________

THINGS TO DOCUMENT AFTER THE PROCEDURE:

Document if the teaching is relevant______________________________________________
____________________________________________________________________________
____________________________________________________________________________
 PROCEDURE RATIONALE
1. Explain the procedure to the patient. Explanation relieves anxiety
and facilitates cooperation.
2. Instruct to clear nasal passages before starting the To remove mucus in the nose
exercise. that prevent patient to
breathe deeply.
3. Place the patient in a semi-fowler’s position. The semi-fowler’s position
promotes chest expansion and
lessens exertion of the
abdominal muscles.
A. DIAPHRAGMATIC (ABDOMINAL) BREATHING
4. Place one hand on the abdomen just below the ribs and Positioning the hands allows
the other hand on the middle of the sternum. the patient to feel the chest
rise and the lungs expand as
the diaphragm descends.
5. Inhale slowly and deeply through the nose, letting the Deep in inhalation promotes
abdomen protrude as far as it will. lung expansion.
6. Exhale through pursed-lips while contracting the Deep in inhalation promotes
abdominal muscles. lung expansion.
7. Repeat for one minute, with a rest period of two Practice promotes
minutes. Work up to 10 minutes, and do it four times a effectiveness and compliance.
day.
B. PURSED-LIPS BREATHING
8. Inhale slowly and deeply through the nose in a count of Deep in inhalation promotes
two. lung expansion.
9. Exhale slowly and evenly through pursed lips while Deep in inhalation promotes
contracting the abdominal muscles. lung expansion.
Ability to answer questions
Completed: ___Yes ___No DATE:

REMARKS:
NAME: Usngan, Princess Nasima M.____ DATE: Oct. 7, 2021 _____
COUGHING EXERCISES
DEFINITION
Coughing helps to remove mucus from the respiratory tract and usually is thought in conjunction
with deep breathing. ____________________________________________________________
_ ____________________________________________________________________________

PURPOSE
To remove mucus from the respiratory tract.________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

EQUIPMENT
Small pillow or folded blanket and PPE as indicated___________________________________
____________________________________________________________________________
____________________________________________________________________________

CONSIDERATIONS BEFORE, DURING and AFTER THE PROCEDURE:

Introduce the self, verify the client’s identity, and document relevant finding._____________
____________________________________________________________________________
____________________________________________________________________________

THINGS TO DOCUMENT AFTER THE PROCEDURE:

Document if the teaching is relevant______________________________________________
____________________________________________________________________________
____________________________________________________________________________
 PROCEDURE
1. Explain the procedure to the patient.
2. Place the patient in an upright position.
3. Demonstrate by inhaling deeply three times
then hold breath counting to three, and then
cough fully two to three times.
RATIONALE
Explanation relieves anxiety
and facilitates cooperation.
The upright position
promotes chest expansion
and lessens exertion of the
abdominal muscles.
Demonstration helps the
patient is to perform the
exercises properly.

4. Repeat three times or until mucus is Coughing helps remove

expectorated. retained mucus from the
respiratory tract.
5. Instruct to cough two-three times every hour Practice promotes
while awake. effectiveness and
compliance.
6. Auscultate with stethoscope for changes in To know if there’s changes in
breath sounds. the breath sounds.

7. 7. Examine sputum for consistency, odor, Examining the sputum helps

color and amount, and then document. to know if the patient has
pneumonia or respiratory
disease.
Ability to answer questions
Completed: ___Yes ___No DATE:

REMARKS:
NAME: Usngan, Princess Nasima M.________ DATE: Oct. 7, 2021______
TEACHING TO USE AN INCENTIVE SPIROMETER
DEFINITION
Incentive spirometry provides visual reinforcement for deep breathing by the patient. It assists
the patient to breathe slowly and deeply, and to sustain maximal inspiration, while providing
immediate positive reinforcement.__________________________________________

PURPOSE
To encourages the patient to maximize lung inflation and prevent or reduce atelectasis._____
____________________________________________________________________________
____________________________________________________________________________

EQUIPMENT
Incentive spirometer, Stethoscope, folded blanket or pillow, and PPE as indicated__________
____________________________________________________________________________
____________________________________________________________________________

CONSIDERATIONS BEFORE, DURING and AFTER THE PROCEDURE:

Reinforce importance of continued use by postoperative patients upon discharge.__________
____________________________________________________________________________
____________________________________________________________________________

THINGS TO DOCUMENT AFTER THE PROCEDURE:

Documentation should include that the incentive spirometer was used by the patient, the
number of repetitions, and the average volume reached. Document patient teaching and patient
response, if appropriate.__________________________________________________________
____________________________________________________________________________
 PROCEDURE RATIONALE
1. Explain the procedure to the patient Explanation relieves anxiety and
facilitates cooperation.
2. Place the patient in a comfortable sitting or semi-fowler’s Placing the patient in a
position. comfortable sitting or semi-
fowler’s position facilitates lung
expansion.

3. For post-op patient, try to avoid discomfort, coordinate Splinting the incision supports
exercise with administration of pain relievers. Instruct and the area and helps reduce pain
assist patient with splinting of incision. from the incision.
4. Let the patient hold the device with one hand, and the For the patient to learn and
mouthpiece with the other hand. facilitates cooperation.
5. Instruct to exhale normally and place lips securely around the Patient should fully empty lungs
mouthpiece. so that maximum volume may
be inhaled. A tight seal allows
for maximum use of the device.
6. Instruct to inhale slowly and as deeply as possible through Inhaling through the nose
the mouthpiece without nose breathing. would provide an inaccurate
measurement of inhalation
volume.
7. Tell patient to hold breath at the count of 3. Holding breath for 3 seconds
helps the alveoli to re-expand.
8. Instruct to remove lips from the mouthpiece and exhale Deep breaths may change the
normally. CO2 level, leading to light-
headedness.
9. Let the patient take several normal breaths before To avoid the patient to feel
attempting another one with the incentive spirometer. light-headedness.
10. After the exercise, encourage to cough after a deep breath. Practice promotes
effectiveness and
compliance.
11. Encourage to do incentive Spirometry 5-10 times every 1-2 This helps to reinflate the
hours during daytime. alveoli and prevent atelectasis
due to hypoventilation.
12. Chart procedure done, number of repetitions, and average For baseline data.
volume.
Ability to answer questions
Completed: ___Yes ___No DATE:

REMARKS: