Nursing Diagnosis for Ineffective Breathing Pattern

Nursing Diagnosis for Ineffective Breathing Pattern



Definition: The exchange of air inspiration and / or expiration inadequate.


Characteristics:
  • Decrease pressure inspiration / expiration
  • Decrease in air changes per minute
  • Using additional respiratory muscle
  • Nasal flaring
  • Dyspnea
  • Orthopnea
  • Changes in chest deviation
  • Shortness of breath
  • Assumption of 3-point position
  • Breathing pursed-lip
  • Phase lasts very long expiratory
  • Increased anterior-posterior diameter
  • Respiratory average / minimum
    • Infants: less than 25 or more than 60
    • Age 1-4: less than 20 or more than 30
    • Age 5-14: less than 14 or more than 25
    • Age over 14: less than 11 or more than 24
  • Depth of respiration
    • Adult tidal volume of 500 ml at rest
    • Infant tidal volume of 6-8 ml / kg
  • Timing ratio
  • Decrease in vital capacity


Related Factors:
  • Hyperventilation
  • Bone deformities
  • Chest wall deformity
  • Decreased energy / fatigue
  • Destruction / impairment musculoskeletal
  • Obesity
  • Body position
  • Fatigue of respiratory muscles
  • Hypoventilation syndrome
  • Pain
  • Anxiety
  • Neuromuscular dysfunction
  • Damage to the perception / cognition
  • Injury to spinal nerve tissue
  • Neurological immaturity

Nursing Diagnosis

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