Characteristics:
Cough (both productive and non productive) nasal output, shortness of breath, tachipnea, limited breath sounds, retractions, fever, diaporesis, ronchii, cyanosis, leukocytosis.
Goal :
Children will experience an effective breathing pattern characterized by:
- Lung breath sounds clear and equal on both sides
- Body temperature in the range 36.5 to 37.2 OC
- The rate of breathing in the normal range
- There is no coughing, cyanosis, nasal output, retraction and diaporesis
Ineffective Breathing Pattern and Rational Interventions:
Perform assessments every 4 hours of respiratory rate, temperature, and the signs of the effectiveness of the airway.
R: Evaluation and re-assessment of the actions that will be / has been given.
Perform chest physiotherapy on a scheduled basis.
R: Removing the secretion of the airway, preventing obstruction
Give Oxygen moist, review the effectiveness of therapy.
R: Increased lung tissue oxygen supply
Give appropriate antibiotics and antipyretics order, assess the effectiveness and side effects (rash, diarrhea).
R: Eradication of bacteria as a factor of disturbance causa
Do check photo thoracic.
R: Evaluation of the effectiveness of the circulation of oxygen, the evaluation of lung tissue conditions
Perform suction gradually.
R: Helping airway clearance
Record the results of pulse oximeter when installed, every 2-4 hours.
R: Periodic evaluation of therapeutic efficacy / health team action.