When writing a care plan use Kardex and what you are assigned.
- Respiratory Management:
- Ineffective airway clearance r/t retained secretions aeb ineffective cough, inability to move airway secretions, abnormal breath sound, abnormal respiratory rhythm, rate and depth
- goal: patient will perform respiration hygiene activities
- interventions - depend on assigned -
- Direct patient to perform IS x 10
- Instruct patient to perform deep breathing and coughing
- suction secretions
- assess respiratory status
Oxygen Management:
- Impaired gas exchange r/t ventilation - perfusion imbalance aeb oxygen sturation of <93% on room air
- goal (Outcome) patient will have oxygen saturation equal to or < 93% during PCS
- monitor oxygen saturation
- position patient to facilitate respiration
Muscular Skeletal Management:
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