Ineffective Airway Clearance - COPD Nursing Care Plan

Chronic obstructive pulmonary disease (COPD), also known as chronic obstructive lung disease (COLD), chronic obstructive airway disease (COAD), chronic airflow limitation (CAL) and chronic obstructive respiratory disease (CORD), is the co-occurrence of chronic bronchitis and emphysema, a pair of commonly co-existing diseases of the lungs in which the airways become narrowed. This leads to a limitation of the flow of air to and from the lungs, causing shortness of breath (dyspnea). In clinical practice, COPD is defined by its characteristically low airflow on lung function tests. In contrast to asthma, this limitation is poorly reversible and usually gets progressively worse over time. In England, an estimated 842,100 of 50 million people have a diagnosis of COPD.


COPD



COPD Nursing Diagnosis

Ineffective airway clearance related to broncho-constriction, increased sputum production, ineffective cough, fatigue / decreased energy and bronchopulmonary infections.

Objective: Achievement of airway clearance clients

Nursing intervention for Ineffective airway clearance - COPD Nursing Care Plan:
  1. Give patients 6 to 8 glasses of fluid / day unless there is cor pulmonale.
  2. Teach and give a boost the use of diaphragmatic breathing and coughing techniques.
  3. Assist in the provision of action nebulizer, metered dose inhalers.
  4. Perform postural drainage with percussion and vibration in the morning and evening suit is required.
  5. Instruct patient to avoid irritants such as cigarette smoke, aerosols, temperature extremes, and smoke.
  6. Teach about the early signs of infection should be reported to your doctor immediately: increased sputum, change in sputum color, viscosity of sputum, increased shortness of breath, chest tightness, fatigue.
  7. Give antibiotics as required.
  8. Give encouragement to patients to immunize against influenzae and Streptococcus pneumoniae.