Nursing interventions
BY:Vaniegrace Angel Balagon
Independent Intervention
• Elevate the head of the
bed, change position
frequently. The diaphragm
would be lowered,
allowing for chest
expansion, aeration of lung
segments, mobilization,
and secretory purulence.
• Adequate deep-breathing
techniques should be
taught and assisted to the
patient.
• Demonstrate proper
splinting of the chest and
effective coughing while in
an upright position.
Encourage patient to do so
often.
• Ensure that all bedridden
and preoperative patients
practice deep breathing
and coughing exercise on a
regular basis. Helps
encourage complete
aeration and secretion
discharge.
• Monitor patients breathing
pattern and Perform
treatments between meals
and limit fluids when
appropriate.
Dependent Intervention Rationale
• Suction as needed • Head elevation helps
continuous coughing, improve the expansion of
unusual breath sounds, the lungs, enabling the
and desaturation caused patient to breathe more
by airway secretions. effectively.
Generates cough or clears
the airway manually in a • To help clear thick phlegm
patient who is unable to do that the patient is unable
so due to an inefficient to expectorate.
cough or a reduced degree
of consciousness.
• To assist in creating an
• Maintain adequate accurate diagnosis and
hydration by forcing fluids monitor effectiveness of
to at least 3000 mL/day medical treatment.
unless contraindicated
• To increase the oxygen
• Promote ambulation level and achieve a value of
Aids in the mobilization of at least 96%.
secretions and the
reduction of atelectasis • To dilate or relax the
muscles on the airways. To
• You can use humidified reduce the inflammation in
oxygen or humidifier at the the lungs
bedside. Increasing the
humidity will decrease the
viscosity of secretions.
• Monitor serial chest x-rays,
ABGs, pulse oximetry
readings