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    Nursing Care Plan: Cues Nursing Diagnosis Rationale Specific Objective Interventions Rationale Evaluation

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    22 - Fernandez, Lyza Mae D.
    1) The nursing care plan is for a 6-year-old patient named Anthony or Cindy who is experiencing shortness of breath due to bronchial asthma. 2) The patient's chief complaints are that their nebulizer treatment is not responding as usual and they are having difficulty breathing. 3) The nursing diagnoses include ineffective breathing pattern related to shortness of breath from bronchial asthma. The nursing interventions are to monitor vital signs and respiratory status, provide nebulizer treatments, elevate the head of

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    Nursing Care Plan: Cues Nursing Diagnosis Rationale Specific Objective Interventions Rationale Evaluation

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    22 - Fernandez, Lyza Mae D.
    37 views2 pages
    1) The nursing care plan is for a 6-year-old patient named Anthony or Cindy who is experiencing shortness of breath due to bronchial asthma. 2) The patient's chief complaints are that their nebulizer treatment is not responding as usual and they are having difficulty breathing. 3) The nursing diagnoses include ineffective breathing pattern related to shortness of breath from bronchial asthma. The nursing interventions are to monitor vital signs and respiratory status, provide nebulizer treatments, elevate the head of

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    NCP

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    1) The nursing care plan is for a 6-year-old patient named Anthony or Cindy who is experiencing shortness of breath due to bronchial asthma. 2) The patient's chief complaints are that their nebulizer treatment is not responding as usual and they are having difficulty breathing. 3) The nursing diagnoses include ineffective breathing pattern related to shortness of breath from bronchial asthma. The nursing interventions are to monitor vital signs and respiratory status, provide nebulizer treatments, elevate the head of

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    Download as docx, pdf, or txt
    37 views2 pages

    Nursing Care Plan: Cues Nursing Diagnosis Rationale Specific Objective Interventions Rationale Evaluation

    Uploaded by

    22 - Fernandez, Lyza Mae D.
    1) The nursing care plan is for a 6-year-old patient named Anthony or Cindy who is experiencing shortness of breath due to bronchial asthma. 2) The patient's chief complaints are that their nebulizer treatment is not responding as usual and they are having difficulty breathing. 3) The nursing diagnoses include ineffective breathing pattern related to shortness of breath from bronchial asthma. The nursing interventions are to monitor vital signs and respiratory status, provide nebulizer treatments, elevate the head of

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    of 2

    COLEGIO SAN AGUSTIN BACOLOD

    COLLEGE OF HEALTH AND ALLIED PROFESSIONS NURSING PROGRAM


    B.S. Aquino Drive, Bacolod City
    Contact Number: (034) 434 – 24 71 Local 162
    Email Address: csab.chap@gmail.com

    NURSING CARE PLAN


    Patient Name: Anthony or Cindy? Chief Complaint/s: nebulizer treatment is not responding as usual
    Room/Bed#: 201-A Diagnosis/Impression: Bronchial Asthma
    Age: 6 years old Attending Physician: Dr. D

    General Objective: Facilitate maintenance of supply of oxygen to all body cells.


    CUES NURSING DIAGNOSIS RATIONALE SPECIFIC OBJECTIVE INTERVENTIONS RATIONALE EVALUATION
    Subjective Data: Ineffective breathing pattern Bronchial asthma is a Within 8 hours of Independent: After 8 hours of nursing
    “Mama indi ko ka breathe” related to presence of chronic inflammatory nursing interventions, intervention the
    verbalized by the patient. shortness of breath 2° disease of the airways, the patient will ●Monitor Oxygen Saturation and − Will provide as patients was able to
    bronchial asthma. associated with recurrent, demonstrate behaviors Respiratory Rate baseline data of the demonstrate behaviors
    "Nurse lhog ko bi danay sa reversible airway to improve breathing patient to improve breathing
    akon bata kay grabi na iya obstruction with pattern. ● Auscultate breathe sounds and − Assesses airflow and pattern.
    hapo, gina nebulize siya intermittent episodes of note for breathe sounds like provide information
    namon sa balay pero ga wheezing and dyspnea. wheezing and crackles. regarding the
    sige nga ga sige gyapon iya Bronchial physiology and
    hapo" verbalized by the hypersensitivity is caused pathology of lungs
    mother. by various stimuli, which and airways
    innervate the vagus nerve obstruction.
    and beta adrenergic ● Elevate the head of the bed. − To facilitates
    Objective Data: receptor cells of Position the patient in Moderate respiratory function.
    the airways, leading to High Back Rest (MHBR).
    Vital Signs: bronchial smooth muscle
    constriction, hyper ● Minimum or keep the area − Can trigger or
    ● BP : 70/40 mmHg secretion of mucus, and dust, smoke, fragrance, air exacerbate onset of
    (NORMAL: mucosal edema. freshener, and feather pillow. acute epidose.
    105/70mmHg)
    Dependent:
    ●SpO2: 93% on room air
    (NORMAL: 95-100%) ● Check Doctor’s Order of − To provide correct
    medication and give to the administration of
    patient. medication
    ● Temperature: 38.3°C
    (NORMAL: Collaborative:
    36.1 - 37°C)
    ● collaborate with the pharmacy − To provide correct
    ● Heart Rate: in the hospital for medications. medicine to be given
    131bpm to the patient as
    (NORMAL: 70-110bpm) prescribed by the
    Doctor.
    ●Respiration Rate:
    32cpm (NORMAL: ● collaborate with the respiratory − Helps patients having
    20-30cpm) therapist. trouble breathing.

    ●collaborate with the dietitian. − Provide patient diet


    and lifestyle for
    optimal health

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