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Minggu, 18 Desember 2011

Ineffective Airway Clearance related to - COPD

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Ineffective Airway Clearance related to - COPD

Nursing Diagnosis Ineffective airway clearance related to :
  •  bronchoconstriction,
  • increased mucus formation, 
  • ineffective cough, 
  • bronchopulmonary infection.

Goal: Achievement of client airway clearance

Nursing Interventions Ineffective airway clearance:
  • Give the patient 6 to 8 glasses of fluid / day unless there is a cor pulmonale.
  • Teach and give encouragement use of diaphragmatic breathing and coughing techniques.
  • Assist in the provision of action nebulizer, metered dose inhalers.
  • Perform postural drainage with percussion and vibration in the morning and evening according to the required.
  • Instruct patient to avoid irritants such as cigarette smoke, aerosols, temperature extremes, and smoke.
  • Teach about the early signs of infection should be reported to your doctor immediately: increased sputum, change in sputum color, viscosity of sputum, increased shortness of breath, chest tightness, fatigue.
  • Give antibiotics as required.
  • Give encouragement to patients to immunize against influenzae and Streptococcus pneumoniae.

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