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  • Ineffective Airway Clearance

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    The patient, an infant, presents with ineffective airway clearance related to excessive mucus due to a cold. After 2 days: 1) The patient's breathing and airway clearance is expected to improve with treatment. 2) The mother will report an improved airway. 3) The nurse's interventions include auscultating breath sounds, monitoring vitals, advising the mother on care including keeping the infant elevated and well-hydrated, and instructing on suction and humidifier techniques.

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    Sample nursing care plan for ineffective airway clearance

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    Ineffective-airway-clearance

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    The patient, an infant, presents with ineffective airway clearance related to excessive mucus due to a cold. After 2 days: 1) The patient's breathing and airway clearance is expected to improve with treatment. 2) The mother will report an improved airway. 3) The nurse's interventions include auscultating breath sounds, monitoring vitals, advising the mother on care including keeping the infant elevated and well-hydrated, and instructing on suction and humidifier techniques.

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    3 views1 page

    Ineffective Airway Clearance

    Uploaded by

    andayaannedhesiree
    The patient, an infant, presents with ineffective airway clearance related to excessive mucus due to a cold. After 2 days: 1) The patient's breathing and airway clearance is expected to improve with treatment. 2) The mother will report an improved airway. 3) The nurse's interventions include auscultating breath sounds, monitoring vitals, advising the mother on care including keeping the infant elevated and well-hydrated, and instructing on suction and humidifier techniques.

    Copyright:

    © All Rights Reserved
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    of 1

    ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION

    SUBJECTIVE:
    Ineffective airway After 2 days of visit: The nurse must do the following: After 2 days of visit the
    The patient’s mother clearance related to patient was able to
    states that “ Isang linggo excessive mucus as  The patient will be  Auscultate breath sounds experience effective
    na po siyang sinisipon at evidence by difficulty of able to experience and assess air movement airway clearance and the
    effective airway to ascertain current status patient’s mother was able
    nagsisimula na po siyang breathing
    clearance  Monitor vital signs, to report improved
    ubuhin dahil sa malamig airway of the infant
    na panahon”  The patient’s noting changes in blood
    mother will be pressure and heart rate
    able to report
    OBJECTIVE:
    improved airway The nurse must advice the
    of the infant patient's mother:
    Observable expiration
    ans inspiration  To maintain the patient’s
    bed head elevated
    Vital Signs:  Encourage fluid intake
    to prevent dehydration
     Temp: 36.4 ˚C  Educate the mother
     PR: 80bpm about the sign and
     RR: 64bpm symptoms to seek
     Heart rate: 132 treatment promptly
     Instruct on proper
     O2sat: 99%
    techniques to suction
    and that a humidifier in
     Height: 29 inches
    the home that can keep
     Weight: 5.9 kg
    secretions thin

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