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Ineffective Breathing Patterns
Ineffective Breathing Patterns
(_)Actual (_) Potential
| (_)
Allergic response (_) Anesthesia (_) Aspiration (_) COPD (_) Decreased lung compliance (_) Fatigue (_) History of smoking |
(_)
Immobility (_) Medications (narcotics, sedatives, analgesics) (_) Neuromuscular impairment (eg. MS, Guillain-Barre) (_) Surgery or trauma (_) Pain (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major:
(Must be present) |
(_)
Changes is respiratory rate or pattern from baseline. (_) Changes in pulse (rate, rythm). |
| Minor:
(May be present) |
(_)
Orthopnea (_) Tachypnea (_) Hyperpnea (_) Splinted, guarded respirations. |
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
patient will: (_) Demonstrate an effective respiratory rate, depth, and pattern A.E.B.:
(_) Other: |
(_)
Assess color, respiratory rate, depth, effort, rythm and
breath sounds q ___ hours. (_) Position to facilitate optimum breathing patterns:
(_) Cough and deep breath q ___ hours. (_) Increase activity
as tolerated to promote maximum diaphragmatic excursion:
_______________ (_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature