NCP
NCP
NCP
Assessment Subjective: y Nahihirapan akong huminga as verbalized by the client. Objective: y RR: 25 y Dyspnea y Use of accessory muscle to breath Nursing Diagnosis Ineffective Breathing Pattern related to Impingement of the diaphragm by enlarging uterus as evidenced by reports of shortness of breath, dyspnea, and changes in respiratory depth. Planning After 20 minutes of effective nursing intervention the client will establish a normal/effective respiratory pattern as evidence by absence of dyspnea and normal respiratory rate. Nursing Intervention y Stress importance of good posture. y Encourage adequate rest periods between activities. y Assist client in the use of relaxation techniques. y Elevate head on bed. y Encourage slower/deeper respirations. y Advised to limit congested places. Rationale Evaluation After 20 minutes of y To maximize respiratory effort. effective nursing intervention the client established a y To limit fatigue. normal/effective respiratory pattern as evidenced by absence of dyspnea and normal y To enhance respiratory rate. breathing pattern. y To promote proper breathing. y To promote proper breathing.
y To prevent suffocation.
Drug Study
Name of Drug (Generic and Brand name) 1. Ferrous Sulfate Classification Dosage/ Frequency Route Mechanism of Action y Provides elemental iron, an essential component in the formation of hemoglobin. Indication Nursing Responsibility
Hematinic
Oral (PO)
y Instruct the client to take tablet with juice (preferably orange juice) for better absorption. y Instruct the client not to take the medication with milk or any antacids as it may reduce the absorption. y Inform client to report constipation and change in stool color or consistency. y Inform client that oral iron may turn stools black.