Definition: The exchange of air inspiration and / or expiration inadequate.
Ineffective breathing pattern related to
- Hyperventilation
- Hypoventilation syndrome
- Damage muskuloskletal
- Neuromuscular Dysfunction
- Fatigue muscles of respiration
- Changes in chest movement
- Bradipnea, tachypnea
- Decrease in inspiratory and expiratory pressures
- Breath nostril
- The use of auxiliary respiratory muscles
- Increased vital signs
Nursing Interventions for Ineffective Breathing Pattern
a. Airway Management:
- Open the airway with headtilt, chinlift, jaw thrust
- Set the position to maximize ventilation
- Use tools airway
- Perform chest physiotherapy
- Teach breath deeply and cough effectively
- Auscultation of breath sounds
- Give bronchodilators (Collaboration)
b. Oxygen therapy
- Provide humidification system of oxygen equipment
- Monitor the flow of oxygen and the amount given
- Monitor signs of oxygen toxicity
c. Monitoring of respiration
- Monitor the frequency, rhythm and depth of breathing
- Monitor the use of auxiliary respiratory muscles
d. Monitoring of vital signs
- Monitor blood pressure, pulse, respiratory rate, temperature
- Monitor blood pressure during sleep, sit, stand up if indicated
- Monitor signs and symptoms of hypothermia or hyperthermia
- Monitor rhythm and breath sounds
