00032 Ineffective breathing pattern

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00032 Ineffective breathing pattern

Definition of the NANDA label

Alteration of inspiration or expiration that makes adequate ventilation impossible.

Inspiration and/or expiration that does not provide adequate ventilation.

Defining characteristics

  • Decrease in the inspiratory pressure / expiratory pressure ratio.
  • Dyspnea and orthopnea.
  • Short of breath.
  • Decreased minute ventilation.
  • Decreased vital capacity.
  • Prolongation of expiratory phases.
  • Increase in anteroposterior thoracic diameter.
  • Alteration of thoracic movements and nasal flaring.
  • Use of accessory respiratory muscles.
  • Respiratory frequencies:
    – Adults & lt; 11 or & gt; 24.
    – Infants & lt; 25 or & gt; 60.
    – Children from 1 to 4 years old & lt; 20 or & gt; 30.
    – Children from 5 to 14 years old & lt; 15 or & gt; 25.
  • Breathing capacity:
    – Adults VT: 500 ml at rest.
    – Children VT: 6-8 ml / kg of weight.

Related factors

  • Perception or cognitive disorders.
  • Neuromuscular dysfunction.
  • Musculoskeletal disorders.
  • Deformity of the chest wall.
  • Bone disease.
  • Hypoventilation syndrome.
  • Decrease in the energy / fatigue ratio.
  • Hyperventilation.
  • Pain.
  • Anxiety.
  • Spinal cord injury.
  • Fatigue of the respiratory muscles.
  • Obesity.
  • Neurological immaturity.
  • Body position.

Associated condition

  • Bony deformity
  • Chest wall deformity
  • Hypoventilation syndrome
  • Musculoskeletal impairment
  • Neurological immaturity
  • Neurological impairment
  • Neuromuscular impairment
  • Spinal cord injury

NOC

  • Status of vital signs.
  • Respiratory status: permeability of the airways respiratory.
  • Respiratory status.

NIC

  • Monitoring of vital signs.
  • Respiratory monitoring.
  • Aspiration of the airways.
  • Airway management.
  • Helps with ventilation.
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