Professional Documents
Culture Documents
BP - 80/60 • Expectorations
hhmg Long term goal: • Documented may be
Tº - 36.5ºc respiratory different when
RR - 26 cpm During the secretions: secretions are
PR - 75 bpm client’s stay at character and very thick.
the hospital he amount of
will be able to sputum.
maintain patent • Positioning
airway as • Maintained helps
evidenced by: patient on maximize lung
moderate high expansion.
• Normal back rest.
respiration as • To maintain
evidenced by • Checked for adequate
absence of obstructions: airway
dyspnea and accumulation patency.
adventitious of secretions.
breath sounds
(wet crackles). • Take
medications
• Normal as ordered by
breathing the physician.
pattern: RR =
12-20 cpm.
• Absence of
bronchial
secretions.
• Allay restless-
ness