St.

Paul College of Ilocos Sur

(Member: St. Paul University System)
St. Paul Avenue, 2727 Bantay, Ilocos Sur
DEPARTMENT OF NURSING
NOVILYN C. PATARAY BSN – II
CYSTIC FIBROSIS
ASSESSMENT DIAGNOSI PATHOPHYSIOLOG PLANNING INTEREVENTION RATIONALE EVALUATION
S Y
Subjective: “haan nak Activity Coughing is the body’s After 4 hours of 1. Evaluate patient’s 1. Establishes After 4 hours of nursing
makaturog gapo detoy intolerance way of removing foreign nursing intervention, response to patient’s intervention, the patient
uyek ko.” As related to material or mucous from the patient will activity capabilities was able to demonstrate a
verbalized by the exhaustion the lungs and throat. The demonstrate a or needs and measurable increase in
patient. associated two general classifications measurable increase facilities tolerance in activity with
with of cough are productive in tolerance in activity 2. Provide a quiet choice of absence of dyspnea and
Objective: interruption in coughs and nonproductive with absence of environment and interventions excessive fatigue.
 Fatigue usual sleep coughs. dyspnea and limit visitors .
 Dyspnea pattern excessive fatigue. during acute 2. Reduces
 V/S taken as because of phase. stress and
follows: discomfort, excess
T- 37.7 excessive stimulation,
PR - 120 coughing and 3. Elevate head and promoting
RR - 30 dyspnea. encourage rest
frequent position 3. These
changes, deep measures
breathing and promote
effective maximal
coughing. inspirations,
enhance
expectoratio
n of
secretions to
improve
ventilation.