Difficulty of Breathing (rapid and shallow)
“Nahihirapan ako sa paghinga.” as
verbalized by the
- Nasal Flaring
-slight cyanotic nailbeds
-rapid shallow breathing
Ineffective breathing pattern related to post surgical state as manifested by nasal flaring, pale skin, slight cyanotic nailbeds, rapid shallow breathing, RR of 27 cpm
After 30 minutes of
the client will experience lessened difficulty of breathing as manifested by decreased in RR from 27 cpm to 20cpm with the absence of nasal flaring, and presence of calm breathing.
- Elevated head of
the bed for about 30 degrees and ask the client to assume dorsal recumbent position.
- Encouraged deep breathing exercises
pollution to a
including rate, depth,
-Gave supplemental oxygen as ordered (2LPM via nasal cannula)
- Obtained blood specimen for Arterial Blood Gas study
-Elevation of the
function by use
of gravity. It also decreases pressure on the abdomen when assuming the position.
- Promote chest expansion
allergic type of
can trigger or
onset of acute
- Assesses the condition of the client
- helps in giving adequate oxygen to the client
- assess the condition of the client
After 30 minutes of nursing intervention,
the client manifested lessened difficulty of breathing as manifested by decreased in RR from 27 cpm to 20cpm with the absence of nasal flaring, and presence of calm breathing.