Imbalanced Nutrition, Less Than Body Requirements related to Pleural Effusion

Imbalanced Nutrition, Less Than Body Requirements related to Pleural Effusion

Nursing Care Plan for Pleural Eeffusion

Nursing Diagnosis: Imbalanced Nutrition, Less Than Body Requirements

related to:

• increased metabolism,
• loss of appetite due to shortness of breath.

Goal: The nutritional requirements are met.

Expected outcomes:

• Consumption of more than 40% of the amount of food,
• normal weight,
• lab results within normal limits.

Nursing Interventions: Imbalanced Nutrition, Less Than Body Requirements for Pleural Effusion

1. Motivate the importance of nutrition.
Rationale: Eating habits are influenced by a person's tastes, habits, religion, economics and knowledge about the importance of nutrition for the body.

2. Auscultation bowel sounds.
Rational: Bowel sounds are decreased or increased indicates a disturbance in digestive function.

3. Perform oral hygiene every day.
Rational: Bad breath odor can reduce appetite.

4. Serve food as attractive as possible.
Rational: Presenting interesting food can increase appetite.

5. Give small amounts of food often.
Rational: The food in small portions do not need energy, lots of easy distraction reflex.

6. Collaboration with a team of nutrition, the provision of a diet high in calories and high in protein.
Rationale: A diet high in calories and high in protein is very good for metabolic needs and antibody formation.

7. Collaboration with doctors, or consulting for laboratory examination alabumin and vitamin and nutritional supplements, if dietary intake continues to decline over 30% of the requirement.
Rationale: Increasing intake of protein, vitamins and minerals can increase the fatty acids in the body.

Ineffective Breathing Pattern related to Pleural Effusion

Ineffective Breathing Pattern related to Pleural Effusion

Nursing Care Plan for Pleural Effusion

Nursing Diagnosis for Pleural Effusion : Ineffective Breathing Pattern

related to:
decreased lung expansion secondary to accumulation of fluid in the pleural cavity.

Goal: Patient is able to maintain normal lung function.

Expected outcomes : rhythm, frequency and depth of breathing in the normal range, the chest X-ray examination did not reveal any accumulation of fluid, audible breath sounds.

Nursing Interventions Ineffective Breathing Pattern for Pleural Effusion:

1. Identification of the causative factors.
Rationale: By identifying the causes, we can determine the type of pleural effusion so it can take appropriate action.

2. Assess the quality, frequency and depth of breathing, report any changes that occur.
Rationale: By reviewing the quality, frequency and depth of breathing, we can determine the extent of changes in the patient's condition.

3. Give the patient in a comfortable position, in a sitting position, with the head of the bed elevated 60-90 degrees.
Rationale: Decreased diaphragm expands the chest area so it can be a maximum lung expansion.

4. Observation vital signs (temperature, pulse, blood pressure, respiration and patient response).
Rationale: Increased respiration and tachycardia is an indication of a decline in lung function.

5. Perform auscultation breath sounds every 2-4 hours.
Rational: Auscultation of breath sounds to determine abnormalities in the lungs.

6. Help and teach the patient to cough and breath in an effective manner.
Rational: Hitting the area of pain when coughing or breathing deeply. Emphasis chest muscles and abdomen made ​​more effective cough.

7. Collaboration with the medical team for the delivery of oxygen and other drugs and thorax photo.
Rationale: Provision of oxygen can reduce the burden of respiratory and prevent cyanosis due hipoxia. Thorax with a photo of the progress can be monitored and the liquid reduced pulmonary return of power development.