Page 15 - Altered Obstructive Nursing Care
P. 15
CikguOnline
CikguOnline
Nursing Interventions Rationale
Nursing Assessment
Therapeutic Interventions
Give frequent oral care, remove expectorated Noxious taste, smell, and sights are prime
secretions promptly, provide a specific deterrents to appetite and can
container for disposal of secretions and produce nausea and vomiting with increased
tissues. respiratory difficulty.
COPD patients expend an extraordinary
Instruct the patient to frequently eat high amount of energy simply on breathing and
caloric foods in smaller portions. require high caloric meals to maintain body
weight and muscle mass.
Help reduce fatigue during mealtime and
Encourage a rest period of 1 hr before and
after meals. provides an opportunity to increase total
caloric intake.
Can produce abdominal distension, which
Avoid gas-producing foods and carbonated hampers abdominal breathing and
beverages. diaphragmatic movement and can increase
dyspnea.
Extremes in temperature can precipitate or
Avoid very hot or very cold foods.
aggravate coughing spasms.
Fluids aids in decreasing the viscosity of
Instruct patient to increase fluid intake (2.5 secretions for patients with chronic increased
liters per day or more) as indicated.
production of sputum.
The dietician can provide nutrional
assessment and counseling applicable to
patients with COPD. They may also facilitate
Collaborate with a dietician as indicated.
the initiation of enteral nutrition in those who
are intubated or who cannot toletate oral
feeding.
Administer supplemental oxygen during Decreases dyspnea and increases energy for
meals as indicated. eating, enhancing intake.
15
