Casecon-negro-3.docx

NURSING CARE PLAN ASSESSMENT Subjective “Dili kaayo ko maka ginhawa ug tarong ” as verbalized by the patient

Objective    

shortness of breath Weak irritable bradypnea

Vital signs taken T- 37 P- 67 R- 10 BP-120/70

NURSING DIAGNOSIS Ineffective breathing pattern related to hypoventilation syndrome alteration of clients normal o2 co2 ratio

SCIENTIFIC BASIS

PLANNING After 4-8 hours of nursing intervention the patient will be able to verbalize the effective of respiratory pattern

INTERVENTIONS

RATIONALE



Auscultate and percuss chest



To evaluate the presence characteristics of breath sounds and secretion



Administer oxygen at the lowest concentration as indicated and prescribed respiratory medication



Management of us underlying pulmonary condition, respiratory distress or cyanoisis



Elevate the head of the bed and or have the client sit up in the chair as appropriate



promote physiological and psychological ease of maximal inpriation



medicate with analgesics as appropriate



promote deeper respiration cough

EVALUATION After 4-8 hours of nursing intervention the goal was meet patient able to verbalized the effectiveness of respiratory pattern, Vital signs were taken, evidenced by Respiratory rate- 21

Reference :Nurse pocket guide, Marilyn E. Doenges Mary frances moorhouse, Alice c. Murr

Reference :Nurse pocket guide, Marilyn E. Doenges Mary frances moorhouse, Alice c. Murr

SALAZAR COLLEGES OF SCIENCE AND INSTITUTE OF TECHNOLOGY 211 N. Bacalso Avenue, Cebu City

COLLEGE OF NURSING DRUG STUDY Student’s Name: ______________________________________ Area : _____________________________________ Inclusive Dates :______________________________________

DRUG

INDICATIONS

Patient’s Initial Patient’s Diagnosis Clinical Instructor

MECHANISM OF ACTION

:______________________________________ :______________________________________ :______________________________________

ADVERSE EFFECTS

NURSING RESPONSIBILITIES

Generic Name: Brand Name: Dosage:

Route:

Onset:

Peak:

CLASSIFICATION Frequency:

CONTRAINDICATIONS