Impaired Ventilation

Topics: Opioid, Morphine / Pages: 4 (757 words) / Published: Nov 20th, 2012
Nursing Care Plan

Problem: Impaired Ventilation

| Assessment |Nursing Diagnosis |Planning |Intervention |Rationale |Evaluation |
|Subjective: |Impaired spontaneous ventilation |Within 8hrs of nursing |Independent: | | |
|“Gi ubo/sipon siya before na |related to accumulation of upper |interventions the pt won’t | | |After 8hrs of nursing |
|disgrasya. Pagka disgrasya naka inum |airways secretions secondary to VA|exhibit signs of respiratory |Assess pt’s condition |To know and determine pt’s need |interventions the pt’s |
|siya ug mga dugo niya mao nang | |distress or infection | | |temperature has risen to |
|gibutangan siya ana (tracheostomy) | | | |To establish baseline data –Temp. |38.0C but isn’t showing |
|para ma suyop to ky mag lisud man | | |Assess and monitor client’s temperature. |above 37.5ᴼC may suggest acute |signs of respiratory |
|siya ginhawa..” As verbalized by the | | | |infectious disease process. |distress |
|mother. | | |

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