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NursingCrib.com Nursing Care Plan Ineffective Airway Clearance (Bronchi)

NursingCrib.com Nursing Care Plan Ineffective Airway Clearance (Bronchi)

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Published by deric
A free sample nursing care plan (ncp) for Ineffective Airway Clearance r/t secretions in the bronchi.
A free sample nursing care plan (ncp) for Ineffective Airway Clearance r/t secretions in the bronchi.

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Categories:Types, Research
Published by: deric on Feb 12, 2009
Copyright:Attribution Non-commercial

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07/29/2014

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NCP I
Cues Nursing Diagnosis Inference ObjectiveNursingInterventionRationale Evaluation
Subjective
“Nahihirapanakong humingadahil sa kakauboko,” as verbalized.
Objective
pale inappearance
dyspnea
(+) use of accessory muscleswhen breathing
(+) productivecough
RR=24cpm
 
IneffectiveAirway Clearancer/t secretions inthe bronchi
 Irritant(inhalation)inflammatoryresponseincrease productionof secretionsairway constrictiondyspnea
Reference:UnderstandingPathophysiology,Huether 
 
Short Term Goal
After 4 hours of nursingintervention, airwaypatency will bemaintained,secretions will bereadilyexpectorated andthere will be signsof reduction incongestion.
Independent
Vital signsmonitored andrecorded.
Assisted in semi-fowler’s position.
Encouraged deepbreathing exercise.
Dependent
Administeredprescribedmedications.
Providedsupplementalhumidification viause of nebulizer.
This is forbaselinecomparison.
Proper positioninghelps in drainingsecretions.
This will promoteproper lungexpansion.
Prescribed medssuch asbronchodilatorshelps in aidingeffective airwayclearance.
Nebulizationhelps in liquefyingsecretions for betterand fasterexpectorating thesecretions.
After 4 hours of nursingintervention, thegoal is met throughmaintenance of airway patency andreduction incongestion.

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