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Nursing Care Plan Ibp (Cap)

The patient was experiencing an ineffective breathing pattern due to decreased energy and respiratory muscle fatigue, as evidenced by restless behavior, nasal flaring, weak appearance, use of accessory muscles, flushed skin, warm temperature, crackles in both lung fields, and a complaint of difficulty breathing. The nursing care plan aimed to establish a normal breathing pattern within 1-2 hours through encouraging slower, deeper respirations and administering analgesics as needed to promote coughing and deeper breathing. Evaluation after 1-2 hours found the patient had established a normal, effective respiratory pattern.

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Algen Ubasa
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87 views2 pages

Nursing Care Plan Ibp (Cap)

The patient was experiencing an ineffective breathing pattern due to decreased energy and respiratory muscle fatigue, as evidenced by restless behavior, nasal flaring, weak appearance, use of accessory muscles, flushed skin, warm temperature, crackles in both lung fields, and a complaint of difficulty breathing. The nursing care plan aimed to establish a normal breathing pattern within 1-2 hours through encouraging slower, deeper respirations and administering analgesics as needed to promote coughing and deeper breathing. Evaluation after 1-2 hours found the patient had established a normal, effective respiratory pattern.

Uploaded by

Algen Ubasa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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NURSING CARE PLAN

INEFFECTIVE
BREATHING PATTERN
Assessment Diagnosis Planning Intervention Evaluation
Objective: Problem: After 1-2 hours • Encourage After 1-2 hours
• Restless • Ineffective slower/deeper
• Nasal flaring Breathing Pattern
of nursing, the of nursing, the
• Weak in patient will respirations, use of patient
Etiology:
appearance pursed-lip
• Decreased establish a establishes a
• Use of accessory
energy/fatigue; technique, and so
muscle when normal and on to assist client normal and
respiratory
breathing
muscle fatigue effective in “taking control” effective
• Flushed skin
• Warm to touch • S/S: respiratory of the situation. respiratory
• Crackles in both • Crackles in both pattern. • Medicate with pattern.
lung fields lung fields
analgesics as
• BP: 140/90mmHg • Nasal flaring
• Temp.: 39 ⁰C • Use of accessory ordered by the
• PR: 100bpm muscles to doctor to promote
• RR: 35cpm breathe deeper respiration
Subjective: • RR of 35cpm and cough.
• Verbalization of • Verbalization of
“Nahihirapan
“Nahihirapan
akong huminga”,
“Inuubo ako”, and akong huminga”.
“napakainit ng
pakiramdam ko”

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