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cough. The clinical manifestations of Chronic Bronchitis continue for at least 3 months of the year for 2 consecutive years. Chronic bronchitis is also known the blue bloater. It is characterized by the following:
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An increase in the size and number of submucous glands in the large bronchi which causes increase mucus production An increased number of globlet cells, which also secrete mucus Impaired ciliary function, which reduces mucus clearance
>To ascertain >Instruct the patient to increase status & note progress fluid intake >To help to >Demonstrate effective coughing liquefy
>To prevent >Turn the patient further q 2 hours complications >Demonstrate chest physiotherapy, such as bronchial tapping when in cough, proper postural drainage. >Administer bronchodilators if prescribed. >More aggressive measures to maintain airway patency. >To prevent possible aspirations >These techniques will prevent possible aspirations and prevent any untoward complications
wheezes /crackles upon auscultation on BLF> increase RR above normal range >presence of productive cough >use of accessory muscle when breathing >presence of nasal flaring and retractions
days of nursing >Place pt in semiinterventions fowlers position the patient will >Increase fluid maintain a intake respiratory rate within >Keep patient normal back dry limits. >Change position every 2 hours >Perform CPT
maintained a respiratory >To have a maximum lung rate within normal expansion limits. >To liquefy secretions >To avoid stasis of secretions and avoid further complication
>To facilitate secretion movt >Place a pillow when the client is and drainage sleeping >To loosen >Instruct how to secretion splint the chest wall with a pillow >To provide for comfort during adequate lung expansion while coughing and elevation of head sleeping. over body as >To promote appropriate physiological >Maintain a patent ease of maximal airway, suctioning inspiration of secretions may be done as ordered >To remove secretions that obstructs the >Provide airway respiratory support. Oxygen >To aid in inhalation is relieving patient provided per from dyspnea doctors order >To promote >Administer prescribed cough deeper suppressants and respirations and analgesics and be cough cautious, however, because opioids
>Administer meds as indicated such needs/consumption as bronchodilators >To correct/improve existing deficiencies >May correct or prevent worsening of hypoxia. >To treat the underlying condition
term:After 2 comfort days of measures such nursing as back rub and intervention change in s, the patient position as will be able necessary to report improvemen >Observe ts in provision of sleep/rest emotional pattern. support >Provide quiet environment. >Increase patients fluid intake >Encourage expectoration >Limit the fluid intake in evening if nocturia is a problem >Obtain feedback from SO regarding usual bedtime, rituals/routines
common manifestation of hypoxia and hypoxemia. >To provide non pharmagcologic management >Lack of knowledge and problems, relationships may create tension. Interfering with sleep routines based on adult schedules may not meet childs needs. >To promote an environment conducive to sleep. >To help liquefy secretions
>To eliminate thick, tenacious, >Provide safety copious for patient sleep secretions which contribute for time safety the DOB >Recommend midmorning nap >To reduce if one required need for nighttime elimination >Administer pain medication >To determine as ordered. usual sleep
patterns & provide comparative baseline >To promote comfort/safety >Napping esp. in the afternoon can disrupt normal sleep pattern >To relieve discomfort and take maximum advantage of sedative effect
the patient will have >Turn the patient minimize or q 2 hours totally be free from the risk >Encourage of infection. increase fluid intake >Stress the importance of handwashing to SOs >Teach the SOs how to care for and clean respiratory equipment
pulmonary infection. >To facilitate secretion movt and drainage >To liquefy secretions >Handwashing is the primary defense against the spread of infection >Water in respiratory equipment is a common source of bacterial growth
>Teach the SOs the manifestations >Early recognition of pulmonary infections (change of manifestations in color of sputum, can lead to a rapid fever, chills) , self- diagnosis. care and when to call the physician >To prevent risk of oral candidiasis. >Recommend rinsing mouth with >Given water prophylactically to reduce any possible >Administer antimicrobial such complications as cefuroxime as indicated. Other nursing diagnoses:
y y y y y
6 High risk for suffocation 7 High risk for aspiration 8 Anxiety RT acute breathing difficulties 9 Activity Intolerance RT inadequate oxygenation 10 Imbalanced Nutrition: Less than body requirements RT reduced appetite and dyspnea (for empysema)
Once the bacteria, virus, or fungus enter the lungs, they usually settle in the air sacs of the lung where they rapidly grow in number. This area of the lung then becomes filled with fluid and pus as the body attempts to fight the infection. Disruption of the mechanical defenses of cough and ciliary motility leads to colonization of the lungs and subsequent infection
Filed in: Nursing Care Plans Tags: impaired gas exchange, ineffective airway clearance, ineffective breathing pattern, respiratory system, risk for infection diagnostic tests done for ineffective airway clearance, labs ordered for pt with copd, ineffective airway clearance mechanical vent copd ncp, teaching plan for cough, ncp sample of wound debridement, impaired gas exchange related to copd, nursing care plan for ineffective airway clearance related to accumulation of mucus secretions Related Posts :