The document details a patient admitted to the hospital for pneumonia with an ineffective airway. The nursing diagnosis identifies ineffective airway clearance related to increased sputum production from pneumonia. The expected outcome is for the patient to have an effective cough and clear lung sounds by a target date, and the prioritized interventions include assessing respiration, listening to lung sounds, treating with prescribed medications, elevating the head of the bed, increasing fluids, and teaching proper breathing and cough techniques.
The document details a patient admitted to the hospital for pneumonia with an ineffective airway. The nursing diagnosis identifies ineffective airway clearance related to increased sputum production from pneumonia. The expected outcome is for the patient to have an effective cough and clear lung sounds by a target date, and the prioritized interventions include assessing respiration, listening to lung sounds, treating with prescribed medications, elevating the head of the bed, increasing fluids, and teaching proper breathing and cough techniques.
The document details a patient admitted to the hospital for pneumonia with an ineffective airway. The nursing diagnosis identifies ineffective airway clearance related to increased sputum production from pneumonia. The expected outcome is for the patient to have an effective cough and clear lung sounds by a target date, and the prioritized interventions include assessing respiration, listening to lung sounds, treating with prescribed medications, elevating the head of the bed, increasing fluids, and teaching proper breathing and cough techniques.
The document details a patient admitted to the hospital for pneumonia with an ineffective airway. The nursing diagnosis identifies ineffective airway clearance related to increased sputum production from pneumonia. The expected outcome is for the patient to have an effective cough and clear lung sounds by a target date, and the prioritized interventions include assessing respiration, listening to lung sounds, treating with prescribed medications, elevating the head of the bed, increasing fluids, and teaching proper breathing and cough techniques.
Ineffective airway Pt. will be free of 1. Assess respiration Tachypnea, shallow
clearance dyspnea, rate. respirations and dyspnea symptoms r/t increased Demonstrate effective production of cough, sputum secondary have clear lung 2. Auscultate lung Listen for to sounds, and sounds. fluid/secretions present in lungs. (crackles, wheezes etc) Pneumonia a.e.b achieve a patent dyspnea, airway by crackles heard 10/9/2016. 3. Treat with Decrease sections, bilaterally in lung medications infection, and edema. fields, and Prescribed (Antibiotics, ineffective nonproductive Mucolytics, bronchodilators cough. etc) 4. Elevate head of Improve breathing by bed. allowing chest expansion.
5. Increase/encourage Facilitate exporation
fluids. of secretions.
6. Teach proper Facilitate effective
cough and deep cough to get rid of breathing Secretions.