Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 35 views

    NCP Kochs2

    Uploaded by

    Ava Vier
    The patient was experiencing difficulty breathing, increased respiratory rate, and difficulty clearing airway secretions due to Koch's disease in the lungs. The nurse's interventions included positioning, monitoring respiration, deep breathing exercises, oral fluid intake, suctioning, oxygen administration, and medication administration. After an hour, the patient's respiratory rate and rhythm stabilized and secretions were cleared. The patient also reported fatigue, weakness, and shortness of breath with exertion due to imbalance between oxygen demand and supply from frequent coughing and sputum production. The nurse's interventions included rest periods, activity planning, oxygen administration, and coping strategies. After 2-3 hours, the patient no longer reported fatigue or exertional symptoms.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd

    NCP Kochs2

    Uploaded by

    Ava Vier
    35 views2 pages
    The patient was experiencing difficulty breathing, increased respiratory rate, and difficulty clearing airway secretions due to Koch's disease in the lungs. The nurse's interventions included positioning, monitoring respiration, deep breathing exercises, oral fluid intake, suctioning, oxygen administration, and medication administration. After an hour, the patient's respiratory rate and rhythm stabilized and secretions were cleared. The patient also reported fatigue, weakness, and shortness of breath with exertion due to imbalance between oxygen demand and supply from frequent coughing and sputum production. The nurse's interventions included rest periods, activity planning, oxygen administration, and coping strategies. After 2-3 hours, the patient no longer reported fatigue or exertional symptoms.

    Original Title

    ncp-kochs2

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The patient was experiencing difficulty breathing, increased respiratory rate, and difficulty clearing airway secretions due to Koch's disease in the lungs. The nurse's interventions included positioning, monitoring respiration, deep breathing exercises, oral fluid intake, suctioning, oxygen administration, and medication administration. After an hour, the patient's respiratory rate and rhythm stabilized and secretions were cleared. The patient also reported fatigue, weakness, and shortness of breath with exertion due to imbalance between oxygen demand and supply from frequent coughing and sputum production. The nurse's interventions included rest periods, activity planning, oxygen administration, and coping strategies. After 2-3 hours, the patient no longer reported fatigue or exertional symptoms.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    35 views2 pages

    NCP Kochs2

    Uploaded by

    Ava Vier
    The patient was experiencing difficulty breathing, increased respiratory rate, and difficulty clearing airway secretions due to Koch's disease in the lungs. The nurse's interventions included positioning, monitoring respiration, deep breathing exercises, oral fluid intake, suctioning, oxygen administration, and medication administration. After an hour, the patient's respiratory rate and rhythm stabilized and secretions were cleared. The patient also reported fatigue, weakness, and shortness of breath with exertion due to imbalance between oxygen demand and supply from frequent coughing and sputum production. The nurse's interventions included rest periods, activity planning, oxygen administration, and coping strategies. After 2-3 hours, the patient no longer reported fatigue or exertional symptoms.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Nursing Diagnosis: Ineffective airway clearance related to inability to remove airway secretions secondary to disease process as manifested by difficulty

    in breathing, increased respiratory rate and verbalization of Marigatan nak umanges ading . Nursing Inference Kochs disease can cause a wide range of effects in the lungs, ranging from a small patch of bronchopneumonia to diffuse intense inflammation, caseous necrosis, pleural effusion, and extensive fibrosis. Respiratory effects can range from mild dyspnea to profound respiratory distress. Accumulation of secretions and compromised airway can impair oxygenation of vital organs and tissues. Nursing Goal After 1 hour of rendering series of nursing interventions the client will be able to stabilize the respiratory rate within normal range as well as the respiratory rhythm and verbalization of Hanak marigatan umangesen ading . Nursing Intervention 1. Position the client on high back rest. To open/maintain airway and for lung expansion. 2. Monitor respiratory rate and rhythm. To assess respiratory distress 3. Encourage deep breathing and coughing exercise. To allow lung expansion to compensate for the decreased oxygen level in the lungs 4. Instruct client to increase oral fluid intake. To help liquefy mucus secretions 5. Perform suctioning as needed. To remove mucus secretions obstructing the airway 6. Administer oxygen as ordered. To provide additional oxygen to the client 7. Administer mucolytic, expectorant and antibiotics as ordered. To liquefy mucus secretions, expel the secretions that obstruct the airway and kill the bacteria. Nursing Evaluation After 1 hour of rendering series of nursing interventions the client was able to stabilize the respiratory rate within normal range as well as the respiratory rhythm and verbalization of Hanak marigatan umangesen ading .

    Nursing Diagnosis Activity intolerance related to imbalance oxygen demand and supply as evidenced by reports of fatigue, weakness and exertional dyspnea.

    Nursing Inference Frequent cough, sputum production and exertional dyspnea can cause fatigue.

    Nursing Goal After 2-3 hours of rendering series of nursing interventions the client will be able to manifest absence of fatigue, weakness and exertional dyspnea.

    Nursing Intervention 1. Encourage and provide for frequent rest periods. To conserve energy. 2. Plan activities of the client accordingly. To conserve energy 3. Administer oxygen as ordered. To provide additional oxygen to the client. 4. Assist client to identify appropriate coping behaviors. To promote sense of control and improves self-esteem.

    Nursing Evaluation After 2-3 hours of rendering series of nursing interventions the client was able to manifest absence of fatigue, weakness and exertional dyspnea.

    You might also like