NCP Emphysema
NCP Emphysema
NCP Emphysema
30
weakness Long Term:
(+) Long Term:
Wheezing After 3-4 days of
upon N.I, the pt. will After 2 days of
auscultation learn ways on N.I the client
(+) pale due how to improved shall be free
to hypoxia ventilation and from any
(+) tapioca- adequate respiratory
like plug oxygenation. distress.
(+) Barrel
chest
Maintain good Keep To reduce
and relaxing environment irritant effect on
Vital Signs:
environment. allergen/ pollutant airways.
RR: 27cpm
free.
(tachypnea)
Discuss To promote
PR: 102 bpm
implications of prevention/
(tachycardia)
smoking related management of
to the illness/ risk.
condition.
31
Identify specific To facilitate
supplier for independence.
supplemental
oxygen necessary
respiratory
device, as well as
other individually
appropriate
resource.
Provide To aid
supplemental respiratory
oxygen at lowest difficulty.
concentration and
monitor carbon
dioxide narcosis.
32
Nursing Care Plans (actual)
Activity Intolerance
33
weakness
(+) Maintain Increase To ascertain
Wheezing adequate rest. exercise/ activity participation.
upon levels gradually,
auscultation teach methods
(+) pale due such as stopping
to hypoxia to rest for about 3
(+) tapioca- min. during a 10
like plug min. walk.
Barrel chest
Sitting down To conserve
instead of energy.
Vital Signs: standing to brush
RR: 27cpm. hair.
(tachypnea)
Plan care with To avoid fatigue.
PR: 102 bpm. rest periods
(tachycardia) between
activities.
34
Give client To sustain
information that motivation.
provides
evidences of
daily/ weekly
progress.
35
Nursing Care Plan (potential)
Risk for Infection
Subjectives: Risk for infection Due to the Short Term: Short Term:
related to retain presence of Establish rapport. To build
secretions in the secretions and After 2hrs. of N.I, trusting After 2 hrs. of N.I
lung. blockage of the client will relationship. the pt. shall
airways, verbalize demonstrate
Objective: microorganism understanding Monitor and record To have proper
will likely to and techniques V/S. baseline data. understanding
Received pt. on hi- grow on moist, on how to avoid and techniques to
fowler’s position, dark and warm or reduce eliminate the
conscious and area. infections. cause of infection.
coherent, with
ongoing O2 via Maintain Encourage early To reduce to
nasal cannula mobilization of ambulation, deep risk of existing
regulated @ 2 respiratory breathing exercise factors.
LPM, with ongoing secretions. coughing and
D5W 1L regulated position change.
@ 10-15 gtts/min.
@ 780 ml. level Educate the proper To prevent
infusing well @ use of tissue when contamination.
right metacarpal coughing or
vein. sneezing and
proper disposing.
36
washing.
37
38