Ineffective Breathing Patterns

Published on Saturday March 10th , 2007

Ineffective Breathing Patterns

(_)Actual (_) Potential

**Related To:**
*[Check those that apply]*
(_) 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:_____________________________ ____________________________________ ____________________________________

**As evidenced by:**
*[Check those that apply]*
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.:

Color pink/ absence of cyanosis.
Absence of diminished breath sounds.

(_) Other:

(_) Assess color, respiratory rate, depth, effort, rythm and breath sounds q ___ hours.

(_) Position to facilitate optimum breathing patterns:

HOB elevated ___ degrees.
Turn q ___ hours.

(_) Cough and deep breath q ___ hours.

(_) Increase activity as tolerated to promote maximum diaphragmatic excursion: _______________
________________________
________________________
________________________

(_) Other:________________
________________________
________________________
________________________

__________________________
Patient/Significant other signature

__________________________
RN signature

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