Page 152 - AACN Essentials of Critical-Care Nursing Pocket Handbook, Second Edition
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Eupneic respiratory rate and pattern (spontaneous RR 25, without dyspnea, absence of accessory muscle
Burns’ Wean Assessment Program (BWAP) a (continued) Not Assessed 13. _____ use)? *This is assessed off the ventilator while measuring #20-23. Absence of adventitious breath sounds (rhonchi, rales, wheezing)? 14. _____ Secretions thin and minimal
II. Respiratory Assessment No Gas Flow and Work of Breathing _____ _____ _____ _____ _____ _____ Airway Clearance _____ _____ _____ Endurance _____ _____ _____ _____ _____
5.11 Yes _____ _____ _____ _____ _____ _____ _____ Strength _____ _____ _____ _____ ABGs _____ _____ _____
