Ineffective airway clearance related to weakness as well as piteous coughing effort.
NOC:
• Demonstrate effective airway clearance as well as respiratory condition evidenced by, gas central as well as ventilation are non dangerous:
- Having a patent airway
- Removing secretions effectively.
- Having a beat as well as respiratory frequency inwards the normal range.
- Having a pulmonary part inside normal limits.
• Demonstrate adequate gas exchange, characterized by:
- Easy to breathe
- There is no anxiety, cyanosis as well as dyspnea.
- O2 saturation inside normal limits
- Chest X-ray inside the expected range.
NIC:
• Assess as well as document
- The effectiveness of the management of oxygen as well as other treatments.
- The effectiveness of treatment.
- Trends inwards arterial blood gases.
• Auscultation of the anterior as well as posterior breast to respect a decrease or absence of ventilation as well as the presence of vibrations barriers.
• Sucking airway
- Determine the involve for oral suction / tracheal.
- Monitor the condition of oxygen as well as hemodynamic condition as well as cardiac beat before, during as well as afterwards exploitation.
• Maintain adequacy of hydration to decrease viscosity of secretions.
• Explain the role of ancillary equipment properly, such every bit oxygen, suction equipment lenders.
• Inform the patient as well as identify unit of measurement that smoking is an activeness that is prohibited inwards the handling room.
• Instruct the patient almost the coughing as well as deep breathing techniques to facilitate the discharge of secretion.
• Negotiate alongside the respiratory therapist every bit needed.
• Give oxygen that has been humidified.
• Tell your MD almost the results of an abnormal blood gas analysis.
• Assist inwards the delivery of aerosol. Nebulizer as well as approximately other lung handling inwards accordance alongside institutional policies as well as protocols.
• Encourage physical activeness to meliorate the possess of secretions.
• If the patient is unable to ambulate, the patient lies sleeping put changed every ii hours.
• Inform the patient earlier showtime the physical care for to cut anxiety as well as growth self-control. Sumber http://nanda-nursinginterventions.blogspot.com/
NOC:
• Demonstrate effective airway clearance as well as respiratory condition evidenced by, gas central as well as ventilation are non dangerous:
- Having a patent airway
- Removing secretions effectively.
- Having a beat as well as respiratory frequency inwards the normal range.
- Having a pulmonary part inside normal limits.
• Demonstrate adequate gas exchange, characterized by:
- Easy to breathe
- There is no anxiety, cyanosis as well as dyspnea.
- O2 saturation inside normal limits
- Chest X-ray inside the expected range.
NIC:
• Assess as well as document
- The effectiveness of the management of oxygen as well as other treatments.
- The effectiveness of treatment.
- Trends inwards arterial blood gases.
• Auscultation of the anterior as well as posterior breast to respect a decrease or absence of ventilation as well as the presence of vibrations barriers.
• Sucking airway
- Determine the involve for oral suction / tracheal.
- Monitor the condition of oxygen as well as hemodynamic condition as well as cardiac beat before, during as well as afterwards exploitation.
• Maintain adequacy of hydration to decrease viscosity of secretions.
• Explain the role of ancillary equipment properly, such every bit oxygen, suction equipment lenders.
• Inform the patient as well as identify unit of measurement that smoking is an activeness that is prohibited inwards the handling room.
• Instruct the patient almost the coughing as well as deep breathing techniques to facilitate the discharge of secretion.
• Negotiate alongside the respiratory therapist every bit needed.
• Give oxygen that has been humidified.
• Tell your MD almost the results of an abnormal blood gas analysis.
• Assist inwards the delivery of aerosol. Nebulizer as well as approximately other lung handling inwards accordance alongside institutional policies as well as protocols.
• Encourage physical activeness to meliorate the possess of secretions.
• If the patient is unable to ambulate, the patient lies sleeping put changed every ii hours.
• Inform the patient earlier showtime the physical care for to cut anxiety as well as growth self-control. Sumber http://nanda-nursinginterventions.blogspot.com/