Ineffective Breathing Pattern
Definition: The exchange of air inspiration and / or expiration inadequate.
Pleural Effusion is an accumulation of fluid in the pleural space. Pleural fluid normally seeps continually into the pleural space from the capillaries lining the parietal pleura and is reabsorbed by the visceral pleural capillaries and lymphatic system. Any condition that interferes with either secretion or drainage of this fluid leads to pleural effusion.
Nursing Diagnosis for Nursing Care Plan Pleural Effusion
Ineffective Breathing Pattern related to decreased lung volume capacity
As evidenced by :
- tachypnea
- presence of crackles on both lung fields and dyspnea
Goal :
- patient will demonstrate appropriate coping behaviors and methods to improve breathing pattern.
- patient would be able to apply techniques that would improve breathing pattern and be free from signs and symptoms of respiratory distress.
Nursing Intervention and Rational :
- Assess breath sounds, respiratory rate, depth and rhythm
R/: To note for respiratory abnormalities that may indicate early respiratory compromise and hypoxia - Assess breath sounds, respiratory rate, depth and rhythm
R/: To obtain baseline data - Administer supplemental oxygen as ordered
R/: To maximize oxygen available for cellular uptake - Assisst client in the use of relaxation technique
R/: To provide relief of causative factors
