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  • Ineffective Airway Clearance-Nursing Care Plan For COPD

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    Rnspeakcom
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    A patient with COPD may have a long history of smoking. On rare situations, non-smokers can even develop emphysema when they lack the enzyme called alpha-1 antitrypsin. Work-related emphysema is also common for workers who work in gas-filled environment, secondhand smokers as well as utilization of fire for cooking without ventilation. An individual may manifest COPD if he or she has a cough either productive or non-productive, complains of easy fatigability and complains of shortness of breath or sometimes catches his or her breath whenever there are mild activities.

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    Ineffective Airway Clearance-Nursing Care Plan for COPD

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    A patient with COPD may have a long history of smoking. On rare situations, non-smokers can even develop emphysema when they lack the enzyme called alpha-1 antitrypsin. Work-related emphysema is also common for workers who work in gas-filled environment, secondhand smokers as well as utilization of fire for cooking without ventilation. An individual may manifest COPD if he or she has a cough either productive or non-productive, complains of easy fatigability and complains of shortness of breath or sometimes catches his or her breath whenever there are mild activities.

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    © All Rights Reserved
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    2K views2 pages

    Ineffective Airway Clearance-Nursing Care Plan For COPD

    Uploaded by

    Rnspeakcom
    A patient with COPD may have a long history of smoking. On rare situations, non-smokers can even develop emphysema when they lack the enzyme called alpha-1 antitrypsin. Work-related emphysema is also common for workers who work in gas-filled environment, secondhand smokers as well as utilization of fire for cooking without ventilation. An individual may manifest COPD if he or she has a cough either productive or non-productive, complains of easy fatigability and complains of shortness of breath or sometimes catches his or her breath whenever there are mild activities.

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    © All Rights Reserved
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    Nursing Diagnosis Patient Outcomes Nursing Interventions Rationale Evaluation

    1. Introduce yourself to 1. This will help in the working relationship


    Nursing the patient and folks at fostering trust.2. This will allow the proper
    Diagnosis: Ineffective the first phase of care. alignment of the thorax thus opening the
    Airway Clearance airway when at rest, especially when the
    2. Place the patient in client is weak.
    Related Factors: position wherein the
    head is midline with 3. This will mechanically help the patient
    1. Hyperplasia and flexion. breathe easier. Always observe sterile
    hypertrophy of mucus- technique.
    secreting glands  The patient will maintain 3. Suction nasal or oral
    patency of airway. secretions as indicated. 4. Assessing the manner and pattern of
    2.Increased mucus  The patient will effectively breathing may signal emotional or physical
    production expectorate secretions. 4. Observe the patient stressors which may compromise normal
     The patient will be able to and its pattern of breathing.
    3. Smoke inhalation manifest signs of good breathing.
    oxygenation. 5. This will help mobilize the secretions *Refer to patient
    4. Retained secretions  The patient will be 5. Teach the deep using the energy of the patient. In this way, outcomes tab
    comfortable in terms of breathing and coughing the patient may know that he or she can help
    5. Airway spasm ambulation and comply with exercises. himself or herself.
    the health regimen.
    Evidenced by: 6. Administer pain 6. Coughing can stimulate the pain receptors,
    medications as ordered. it is better to provide analgesics before the
     Rales coughing exercise so that excretions of
     Persistent cough 7. Encourage increase mucus can be attained.
     Wheezing fluid intake as not
     Dyspnea contraindicated. 7. Hydration can also mobilize the secretions
     Restlessness clearing the upper airway as well as the
     Cyanosis 8. Splint the chest for lower airway.
    comfort.
    8. Proper positioning can ease the patient
    thus decreasing unnecessary effort.
    9. Assist in mobilization
    and provide proper
    airway support.

    10. Administer 9. Giving assistance may decrease the effort


    mucolytic, in the side of the patient, while moving it is
    bronchodilators as important to provide proper oxygenation in
    ordered by the order to attain the desired move.
    physician.

    10. Collaboration with the physician in terms


    of pharmacological intervention is also vital
    in providing better outcomes.

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