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    NCP BM

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    Sourabh Mehra
    The nurse assessed the patient's airway and respiratory status which showed signs of ineffective airway clearance after oral surgery. The nurse's objectives were to maintain a patent airway and keep the patient free from respiratory distress. Interventions included positioning, suctioning, teaching incentive spirometry and turning/coughing to clear secretions as well as nebulizer treatments. These were aimed to improve gas exchange, expand the lungs, and prevent secretions from obstructing the airway. Through these interventions, the patient's oxygen saturation improved to 98% indicating an effective evaluation.

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    NCP BM

    Uploaded by

    Sourabh Mehra
    288 views1 page
    The nurse assessed the patient's airway and respiratory status which showed signs of ineffective airway clearance after oral surgery. The nurse's objectives were to maintain a patent airway and keep the patient free from respiratory distress. Interventions included positioning, suctioning, teaching incentive spirometry and turning/coughing to clear secretions as well as nebulizer treatments. These were aimed to improve gas exchange, expand the lungs, and prevent secretions from obstructing the airway. Through these interventions, the patient's oxygen saturation improved to 98% indicating an effective evaluation.

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    nursing care plan

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    The nurse assessed the patient's airway and respiratory status which showed signs of ineffective airway clearance after oral surgery. The nurse's objectives were to maintain a patent airway and keep the patient free from respiratory distress. Interventions included positioning, suctioning, teaching incentive spirometry and turning/coughing to clear secretions as well as nebulizer treatments. These were aimed to improve gas exchange, expand the lungs, and prevent secretions from obstructing the airway. Through these interventions, the patient's oxygen saturation improved to 98% indicating an effective evaluation.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    288 views1 page

    NCP BM

    Uploaded by

    Sourabh Mehra
    The nurse assessed the patient's airway and respiratory status which showed signs of ineffective airway clearance after oral surgery. The nurse's objectives were to maintain a patent airway and keep the patient free from respiratory distress. Interventions included positioning, suctioning, teaching incentive spirometry and turning/coughing to clear secretions as well as nebulizer treatments. These were aimed to improve gas exchange, expand the lungs, and prevent secretions from obstructing the airway. Through these interventions, the patient's oxygen saturation improved to 98% indicating an effective evaluation.

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    © All Rights Reserved
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    of 1

    ASSESSMENT NURSING OBJECTIVE INTERVENTIONS IMPLEMENTION RATIONALE EVALUATION

    DIAGNOSIS

    Subjective data Ineffective To maintain a  Assess airway  Assessed airway and  Assessment of respiration  SPO2 reached
    Creps present on airway patent airway patency and respiratory status. RR- gives breathing pattern 98%.
    auscultation. clearance and remain free respiration status 22/mins and SPO2 is 92% and baseline data of the
     Semi-fowlers position
    related to oral of respiratory every hour until client.
    given or maintained.  Position helps to expand
    surgery as distress. stable.
    Objective data  Provide  Tracheotomy tube
    evidenced by lungs comfortably, reduce
    Patient having comfortable suctioning done gently. respiratory distress and
    SPO2 is 92%  Taught incentive
    coughed, use position. prevent secretion enter in
     Provide suctioning. spirometry 500ml -1000
    accessory trachea.
     Teach incentive ml, every hrly, 10-15
    muscles, SPO2 is  Suctioning helps to clear
    spirometry. times a day.
    92% blockage in airway.
     Provide  Duolin and Budecort  By doing incentive
    nebulisation. nebulisation given 6th spirometer, gas exchange
     Encourage to turn hourly. occurs effectively and
    and cough.  Made the patient turn,
    increase oxygen
    cough every 2-4 hrly.
    perfusion.
     Nebulisation helps to
    soften the hard mucus,
    loosen the secretion and
    helps in breathing.
     It enhances 100%
    oxygenation and brings
    out secretion.

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