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  • BSN 4-3 Ramos, Cammel B. (Copd NCP)

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    cammel ramos
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    The client presents with shortness of breath and diminished lung sounds. Objective findings include use of accessory muscles, dyspnea, fast and irregular breathing, and decreased oxygen saturation. Chest X-ray and blood gas results are consistent with COPD. The nursing diagnosis is ineffective breathing pattern related to bronchoconstriction. The plan is for oxygen therapy and nursing interventions over 8 hours to relieve symptoms and allow the client to verbalize an improvement in breathing.

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    Bsn 4-3 Ramos, Cammel b. (Copd Ncp)

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    The client presents with shortness of breath and diminished lung sounds. Objective findings include use of accessory muscles, dyspnea, fast and irregular breathing, and decreased oxygen saturation. Chest X-ray and blood gas results are consistent with COPD. The nursing diagnosis is ineffective breathing pattern related to bronchoconstriction. The plan is for oxygen therapy and nursing interventions over 8 hours to relieve symptoms and allow the client to verbalize an improvement in breathing.

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    6 views3 pages

    BSN 4-3 Ramos, Cammel B. (Copd NCP)

    Uploaded by

    cammel ramos
    The client presents with shortness of breath and diminished lung sounds. Objective findings include use of accessory muscles, dyspnea, fast and irregular breathing, and decreased oxygen saturation. Chest X-ray and blood gas results are consistent with COPD. The nursing diagnosis is ineffective breathing pattern related to bronchoconstriction. The plan is for oxygen therapy and nursing interventions over 8 hours to relieve symptoms and allow the client to verbalize an improvement in breathing.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

    Subjective: Ineffective breathing After 8hrs of nursing


    “Halos mag 12 oras na pattern related to intervention the client
    akong nahihirapan bronchoconstriction as will be able to verbalize
    huminga” evidenced by shortness of relief from pain.
    breath and diminished
    Objective: lung sounds

     Use of accessory
    muscle
     Dyspnea
     Fast and irregular
    breathing upon
    exertion
     Diminished lung
    sound upon
    auscultation
     Nasal flaring
     Restlessness
     Connected on home
    oxygen tank set with
    4 L/min

    Vital Signs
     BP: 150/86 mmhg
     RR: 36 cpm
     HR: 112 bpm
     02Sat: 85%

    Asia’s FIRST IiP – Gold


    Granted INSTITUTIONAL ACCREDITATION Status
    Recognition for Proficiency in Quality
    Management in 2015 Granted AUTONOMOUS Status
    Accredited University
    CHEST XRAY RESULT:
    Hyper inflated lung with
    flatten diaphragm
    correlating with COPD

    ABG RESULT:

    PCO2 60,

    pH 7.25,

    PO2 50

    O2 Sat 85%.

    Asia’s FIRST IiP – Gold


    Granted INSTITUTIONAL ACCREDITATION Status
    Recognition for Proficiency in Quality
    Management in 2015 Granted AUTONOMOUS Status
    Accredited University
    Asia’s FIRST IiP – Gold
    Granted INSTITUTIONAL ACCREDITATION Status
    Recognition for Proficiency in Quality
    Management in 2015 Granted AUTONOMOUS Status
    Accredited University

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