ASSESSMENT Subjective: marigatan nak umanges nakkong as verbalized by the patient Objective: -respiratory rateof 24 -presence of accessory muscle

when breathing

DIAGNOSIS Ineffective airway clearance related to disease process as manifested by : Subjective: marigatan nak umanges nakkong as verbalized by the patient Objective: -respiratory rateof 24 -presence of accessory muscle when breathing

PLANNING After 2 hours of nursing interventions the patien will be able to demonstrate the following: -verbalization of han nak unay marigatan umangesen nakkong. -decreased of respiration from 24bpm to normal range of 12-20 bpm -absence of accessory muscle when breathing.

IMPLEMENTATION 1. Assess the frequency, depth of breathing. Note the use of accessory muscles, mouth breathing, inability to speak / talk.

RATIONALE - useful in the evaluation of the degree of respiratory distress and / or chronic disease process.

2. Elevate head of bed, help patients to choose a position that is easy to breathe. Encourage deep breath or breathing lips slowly as needed / individual tolerance. 3. Evaluate the effectiveness of the actions nebulizer, metered dose inhalers. Assess decrease shortness of breath, wheezing or crackles drop, looseness secretion, decreased anxiety 4. Instruct and encourage the patient on diaphragmatic breathing and effective coughing.

- oxygen delivery can be improved by a high seating position and breathing exercises to reduce airway collapse, dyspnea, and breath -Goal was met work. - Combining medication with a nebulizer aerosolized bronchodilator commonly used to control bronchoconstriction.

Evaluation After 2 hours of nursing interventions the patient was able to demonstrate the following: -verbalization of han nak unay marigatan umangesen nakkong. -decreased of respiration from 24bpm to normal range of 12-20 bpm -absence of accessory muscle when breathing.

- techniques improve ventilation by opening the airway and clearing the airway of sputum. Improvement of gas

exchange. 5. Provide supplemental oxygen in accordance with the indications of blood gas analysis results and patient tolerance - can fix / prevent worsening hypoxia.

ASSESSMENT Subjective: nahihirapan ako huminga nakkong as verbalized by the patient. Objective: - decreased in respiratory rate 10cpm -restlessness

DIAGNOSIS Ineffective breathing pattern related to disease process as manifested by : Subjective: nahihirapan ako huminga nakkong as verbalized by the patient. Objective: - decreased in respiratory rate 10cpm -restlessness

PLANNING After 2 hours of nursing interventions the patien will be able to demonstrate the following: -verbalization of di na ako masyado nahihirapan huminga -changes of respiratoryrate from 10cpm to 12-20cpm -absence of restlessness

IMPLEMENTATION 1. Assess the frequency, depth of breathing.

RATIONALE - useful in the evaluation of the degree of respiratory distress and / or chronic disease process.

2. Elevate head of bed

- oxygen delivery can be improved by a high seating position and breathing exercises to reduce airway collapse, dyspnea, and breath work. . For comparison and to determine if the action was effective or not. - techniques improve ventilation by opening the airway and clearing the airway of sputum. Improvement of gas exchange. -can helping in reducing difficulty of breathing.

Evaluation After 2 hours of nursing interventions the patient was able to demonstrate the following: -verbalization of di na ako masyado nahihirapan huminga -changes of respiratoryrate from 10cpm to 12-20cpm -absence of restlessness

3. Monitor respiratory rate of the patient 4. Instruct and encourage the patient on diaphragmatic breathing and effective coughing.

5. administer medication as prescribed by the doctor such as bronchodilator

ASSESSMENT Subjective: nahihirapan ako huminga nakkong as verbalized by the patient. Objective:

DIAGNOSIS

PLANNING After 2 hours of nursing interventions the patien will be able to demonstrate the following:

IMPLEMENTATION 1. Assess the frequency, depth of breathing.

RATIONALE - useful in the evaluation of the degree of respiratory distress and / or chronic disease process.

Evaluation After 2 hours of nursing interventions the patient was able to demonstrate the following:

2. Elevate head of bed

- oxygen delivery can be improved by a high seating position and breathing exercises to reduce airway collapse, dyspnea, and breath work. . For comparison and to determine if the action was effective or not. - techniques improve ventilation by opening the airway and clearing the airway of sputum. Improvement of gas exchange. -can helping in reducing difficulty of breathing.

3. Monitor respiratory rate of the patient 4. Instruct and encourage the patient on diaphragmatic breathing and effective coughing.

5. administer medication as prescribed by the doctor such as bronchodilator