- Ineffective airway clearance related to:
- Tracheobronchial infection, obstruction, secretions
- Decreased energy and fatigue
- Trauma
- Dehydration
- Ineffective breathing pattern related to:
- Neuromuscular/musculoskeletal impairment
- Pain
- Decreased energy and fatigue
- Anxiety
- Inflammatory process
- Decreased lung expansion
- Tracheobronchial obstruction
- Alteration of normal O2/CO2 ratio
- Decreased cardiac output related to:
- Structural alterations
- Electrical alterations in rate, rhythm and conduction
- Mechanical alteration in preload, afterload and inotropic changes in the heart
- Impaired gas exchange related to:
- Altered oxygen supply
- Alveolar-capillary membrane changes
- Altered oxygen-carrying capacity of the blood.
- Altered blood flow
- Activity intolerance related to:
- Imbalance between oxygen supply and demand
- Sedentary lifestyle
- Anxiety related to:
- Ineffective airway clearance
- Ineffective breathing pattern
- Ineffective individual coping related to:
- Activity intolerance associated with ineffective airway clearance
- Fear related to feeling of suffocation associated with ineffective airway clearance.
- Powerless related to:
- Impaired verbal communication associated with endotracheal tube
- Self care deficit and decreased cardiac output
- Sleep pattern disturbance related to:
- Ineffective breathing pattern (orthopnea)
- Anxiety associated with ineffective airway clearance.