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The patient was experiencing difficulty breathing, coughing, headache, and chest pain. Their vital signs showed an elevated blood pressure, rapid pulse, and rapid respiratory rate. The nursing diagnosis was ineffective breathing pattern related to respiratory muscle fatigue. The plan was to monitor the patient's breathing pattern, vital signs, and provide interventions like oxygen, positioning, medication, and a calm environment over 8 hours to help establish an effective breathing pattern and relieve symptoms. After 8 hours the patient was able to establish a normal respiratory pattern.
The patient was experiencing difficulty breathing, coughing, headache, and chest pain. Their vital signs showed an elevated blood pressure, rapid pulse, and rapid respiratory rate. The nursing diagnosis was ineffective breathing pattern related to respiratory muscle fatigue. The plan was to monitor the patient's breathing pattern, vital signs, and provide interventions like oxygen, positioning, medication, and a calm environment over 8 hours to help establish an effective breathing pattern and relieve symptoms. After 8 hours the patient was able to establish a normal respiratory pattern.
The patient was experiencing difficulty breathing, coughing, headache, and chest pain. Their vital signs showed an elevated blood pressure, rapid pulse, and rapid respiratory rate. The nursing diagnosis was ineffective breathing pattern related to respiratory muscle fatigue. The plan was to monitor the patient's breathing pattern, vital signs, and provide interventions like oxygen, positioning, medication, and a calm environment over 8 hours to help establish an effective breathing pattern and relieve symptoms. After 8 hours the patient was able to establish a normal respiratory pattern.
ASSESSMENT NURSING DX PLANNING INTERVENTION PLANNING EVALUATION Objective: Ineffective After 8 hours of -Auscultate chest -to identity the After 8 hours of difficulty of breathing pattern nursing of evaluate characteristic of nursing breathing as the related to intervention the presence of breathing pattern intervention the patient complained. respiratory muscle client will breathing pattern. patient was able to fatigue. establish a normal establish an Subjective: respiratory pattern -Monitor the vital -Inadequate effective -Dyspnea as evidenced by other sign oxygenation causes respiratory pattern. -Cough sign and symptoms increase of PR -Head ache of hypoxia. - Monitor the rate -To identify the -chest pain and depth type of breathing Vital signs: respiratory pattern. Bp: 150/100mmhg breathing pattern Pr: 88 bpm Rr: 32bpm -Encourage -To provide relieve Temp: 38.2 position comfort of causative factor Body weight: 40kg Heigh: 157 cm -Maintain clam -To limit the level attitude while of anxiety - The nurse on dealing with the duty client administered O2 -Medicate with -To promote Inhalation at analgesic ordered deeper respiration 5lmp via by the physician nasal cannula