(Subjective & (Dependent, Objective) Independent & Collaborative) Subjective: Ineffective breathing PTB occurs when M. After 6 hours of nursing Independent: >Maintaining the After 6 hours of nursing “naa mani sha pattern related to tuberculosis primarily interventions, the >assessed airway for airway is always the interventions, the pneumonia sir” as fatigue secondary to attacks the lungs. patient will be able to: patency first priority, especially patient was able to verbalized by the pneumonia A person with PTB may >Sustain respiratory in cases of trauma, display patency of patient. experience fatigue and rate within normal acute neurological airway as manifested Objective: loss of energy. It may range: RR= 12-20 cpm decompensation. by: >Decreased breath affect her ability to >Tolerate performance >auscultate lungs for >These may indicate >Patients’ RR is within sound expectorate secretions. of simple, day to day presence of normal or presence of mucus plug normal range: RR=20 >Crackle sound noted Aside from that, activities. adventitious breath cpm >Elevated shoulders difficulty in breathing >Demonstrate proper sounds >secretions decreased >Decreased fremitus signifies that there may breathing exercises. -decreased breath >these may indicate >Patients’ fatigue was >Vital Signs: be an accumulation of >Decrease fatigue sound increase airway alleviated. R= 25 cpm secretions in the resistance BP= 110/80 mmHg bronchial cavity of the -coarse sounds >These may indicate lungs. Collaborative: fluid along larger Administer medications airways. Source: Medical as prescribed by the Surgical Nursing 13th physician. edition by Brunner and Siddhart