Ineffective airway clearance related to thick secretions or blood secretions, weakness, poor cough effort, edema, tracheal / pharyngeal.
Goals :
After a given airway hygiene nursing actions effectively, with the result criteria:
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scientific reason of ineffective airway clearance
Impaired gas exchange /ineffective airway clearance /ineffective breathing
Impaired gas exchange Ineffective airway clearance Activity intolerance
Ineffective Airway Clearance r/t inability to clear mucus m/b Altered nutrition less than body requirement R/T inability to digest fat. Risk for infection r/t chronic pulmonary disease risk for ineffective family coping R/T chronic illness of a child.
The client is at risk for ineffective Airway Clearance caused by atelectasis and hypostatic pneumonia.Respiratory complications can still occur with any anesthetized client. As in the PACU, the postoperative client is at risk for ineffective airway clearance, ineffective breathing patterns, and aspiration.To prevent; ask PT to cough, deep breathe, and to sit up and ambulate as soon and as often as ordered. Ensure adequate pain relief measures so the mobility is well tolerated.Just found that answer on my book ;)
Nursing goals for ineffective airway clearance focus on improving the patient's ability to clear respiratory secretions and maintain adequate oxygenation. Specific goals may include increasing the patient's secretion clearance through effective coughing techniques, positioning, and the use of suctioning when necessary. Additionally, ensuring optimal oxygenation levels and monitoring respiratory status are crucial to prevent complications. Education on deep breathing exercises and the importance of hydration can also support these goals.
ineffective airway clearence, ineffective breathing patterns
The priority nursing diagnosis for pneumonia is "Ineffective Airway Clearance." This diagnosis is crucial because pneumonia can lead to the accumulation of secretions in the lungs, which impairs gas exchange and can result in respiratory distress. Nurses must assess the patient's ability to clear secretions, implement interventions to promote airway clearance, and monitor respiratory status closely to prevent complications.
airway inhalation
The essential cells of the lung that perform its main function are the alveolar cells, including type 1 pneumocytes for gas exchange and type 2 pneumocytes for surfactant production. Other important cells include macrophages for immune defense and ciliated epithelial cells for airway clearance.
yes you can nurse but it may hurt for some women - previous answer. I think you are asking for an actual "Nursing Diagnosis" - I would recommend the NANDA book for more precise answers. Remember to include the "related to" and "as evidenced by" which some classes will allow "r/t" and "aeb" as notations for those terms. Pain - acute or chronic. This is a common one. Circulation, altered. If there is lymph node involvement. There are also issues related to: Self-Concept, Self-Esteem, Body Image - Altered. because of the threat of removal of tumors, chemotherapy et. al. Risk for Infection (if on chemotherapy or radiation)
Four respiratory diseases include asthma, chronic obstructive pulmonary disease (COPD), pneumonia, and tuberculosis. Asthma often begins with allergic reactions or respiratory infections that trigger airway inflammation. COPD typically arises from long-term exposure to irritants like cigarette smoke, leading to progressive lung damage. Pneumonia can start from infections, including bacteria or viruses, whereas tuberculosis begins with exposure to the Mycobacterium tuberculosis bacterium, often spreading through airborne particles.