Page 9 - Altered Obstructive Nursing Care

CikguOnline
CikguOnline
Activity Intolerance

Related to

• Imbalanced between oxygen supply and demand due to inefficient work of breathing.

Outcomes

• Reports reduced episodes of dyspnea during an activity.
• Rates perceived exertion at 3 or less on a 0-10 scale.

Nursing Interventions Rationale

Nursing Assessment

Assess the patient’s respiratory response to Patients with COPD can experience hypoxia
activity which includes monitoring of during an increased activity and may need
respiratory rate and depth, oxygen saturation, oxygenation to avoid hypoxemia which put
and use of accessory muscles for respiration. them at risk for exacerbations of the condition.

Adequate energy reserves are needed
Assess the patient’s nutritional status.
during activity.

Therapeutic Interventions

Helps in building tolerance and minimizing
Maintain prescribed activity levels.
episodes of dyspnea.

Allotment of undisturbed rest reduces demand
Provide at least 90 minutes of undisturbed for oxygen and allows adequate physiologic
rest in between activities.
recovery.

Teach and assist the patient with active ROM Aids in building stamina and avoid
exercises. complications of limited mobility.

Instruct patient with energy conservation
techniques, such as:
• Placing frequently used items within
easy reach These techniques reduce oxygen consumption,
• Sitting to do tasks allowing a more prolonged activity.
• Frequent position changes
• Working at an even pace

Teach the patient on excercises that enhances These techniques prolong exhalation period
breathing capacity such as diaphragmatic and which can decrease retention of carbon dioxide.
purse-lip breathing.

9