Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Standard view
Full view
of .
Look up keyword
Like this
0 of .
Results for:
No results containing your search query
P. 1
NCP Difficulty of Breathing r/t Secretion

NCP Difficulty of Breathing r/t Secretion

Ratings: (0)|Views: 8,529|Likes:
Published by herscentasiascribd

More info:

Categories:Types, School Work
Published by: herscentasiascribd on Jul 28, 2010
Copyright:Attribution Non-commercial


Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less





Name of Patient:Age: 65 y/oCivil Status:Nationality:Occupation:Date of Admission:Chief Complaint/ Diagnosis: Difficulty of breathingSex: Male
Subjective:“Sumasakit ang dibdibko kapag humihinga”as verbalized by thepatient.Objective:
Nasal flaring
Distended neckvein
Chest pain
Rapid and shallowbreathing
V/S taken asfollows:RR: 32 breaths/minPR: 80
XRAY (4/06/10) –
Fluffybasal densities arepresent
Pneumonia and/or edemaDifficulty of breathingrelated to presence of phlegm on thetracheobronchial treeAmong the mostcommon symptomsof lung disorders arecough, dyspnea, andwheezing. Lesscommonly, ablockage in theairways between themouth and lungsresults in a gaspingsound whenbreathing. Problemsin the lungs can alsolead to coughing upof blood or hemoptysis, a bluishdiscoloration of theskin due to a lack of oxygen in the blood,or chest pain.After 2 days of nursinginterventions, thepatient’s respirationshall have improvedand difficulty of breathing shall havebeen relieved.
monitored respiratorypatterns including rate,depth, and effort
Auscultated breathsounds notingdecreased or absentsounds, crackles, or wheezing.
positioned the client tooptimize respiration
encouraged patient toperform deepbreathing
encouragedambulation astolerated withoutcausing exhaustion
With secretion in theairway, the respirationrate will increase.
These abnormal lungsounds can indicatepathology associatedwith an alteredbreathing pattern.
An upright positionallows maximal lungexpansion while lyingflat on bed causesabdominal organs toshift toward the chest,which crowds the lungsand makes it moredifficult to breath.
This technique canhelp increase sputumclearance anddecrease coughspasm.
Immobility is oftenharmful to the elderlybecause it decreasesventilation andincreases stasis of secretions, leading toatelectasis or pneumonia.After 2 days of nursing intervention,the patient respirationhas been improvedand difficulty of breathing has beenrelieved asevidenced by:
(-) dyspnea
(-) nasal flaring
(-) distended neckvein
(-) wheezing
RR: 25 breaths/minNursing objectivewas met.

Activity (47)

You've already reviewed this. Edit your review.
1 hundred reads
1 thousand reads
ShAng Senados liked this
Ruby H Bulibol liked this
Lynzky H A. Cabrera added this note
it helps me a lot thanks to this... :) ;)
ron_estrella_4 liked this
achaea_silo liked this

You're Reading a Free Preview

/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->