Ineffective Breathing Pattern Care Plan

Ineffective Breathing Pattern as inspiration and/or expiration that does not provide adequate ventilation.

Ineffective Breathing Pattern related to :

• Pain
• Aspiration
• Immobility
• Decreased energy and fatigue
• Neuromuscular impairment (e.g., Multiple Sclerosis, Guillain-Barre)
• Anesthesia
• History of smoking
• Medications (narcotics, sedatives, analgesics)
• Tracheobronchial Obstruction
• COPD
• Allergic response
• Decreased lung compliance
• Surgery of trauma

Evidenced by :

• Dyspnea
• Tachypnea
• Respiratory depth changes
• Use of accessory muscles
• Bradypnea
• Cyanosis
• Hyperpnea
• Nasal flaring
• Increased anteroposterior chest diameter
• Pursed-lip breathing or prolonged expiratory phase
• Orthopnea
• Cough
• Grunting
• Altered chest excursion
• Abnormal arterial blood gas (ABG)
• Irregular or paradoxical breathing

Objectives:

• Effective breathing pattern

Expected Results:

• There was no increased work of breathing
• There is no use of accessory muscles / retractions and asymmetrical chest expansion
• There was no dyspnea and cyanosis
• Blood Gas Analysis within normal limits
• Vital signs within normal limits
• No additional breath sounds

Nursing Interventions - Ineffective Breathing Pattern Care Plan :

• Review the causes of respiratory failure
• Observations of breathing patterns
• Auscultation of lung sounds periodically, note the quality of breath sounds, wheezing, expiratory lengthening and observation symmetry chest movement
• Determine the location and extent of crackles in the sternum
• Ensure breathing in harmony and there is no resistance (Fighting)
• Have resuscitation equipment close to the client, perform manual ventilation if necessary

Health Education:

• Teach the client and family relaxation techniques to increase effective breathing pattern
• Teach how to cough effectively
• Talk about home-care plan

Collaboration:

• Ventilator settings and adjust the ventilator pattern with the client's condition
• Observation konsintrasi oxygen (Fi O2) is given
• Encourage deep breath through the abdomen during the period of respiratory distress
• Record the pressure and the airway pressure waveform monitor
• Ensure moisture and air temperature of inspiration and periodically checks
• Set and check the ventilator alarm