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Ineffective Airway Clearance related to Sinusitis

Nursing Diagnosis Ineffective Airway Clearance related to Sinusitis

Sinusitis or sinus infection can cause a great deal of pain. It is the result of an inflammation of the sinus or nasal passages or both. When someone has a sinus infection there are several symptoms that will help him or her to recognize that that is what he or she are suffering from. Sinusitis is often accompanied by a feeling of tenderness or pressure around the nose, eyes, cheeks or forehead. Sometimes it is accompanied by headache pain.

Sinusitis can come on suddenly and then leave after the correct treatment, lasting a few weeks, or it can be a chronic problem that lasts more than eight weeks at a time with at least four occurrences yearly. Surprisingly most cases of sinusitis are chronic in nature.

Sinusitis treatment through medical or home methods can be done to make you feel better. The goals of these treatments are the improvement of drainage of mucus, reduce swelling in the sinuses, relieve pain and pressure, clear up any infection, prevent the formation of scar tissue, and avoid permanent damage to the tissues lining the nose and sinuses.

Ineffective Airway Clearance Definition:

Inability to clear secretions or obstructions from the respiratory tract to maintain airway patency.

Maintaining a patent airway is vital to life. Coughing is the main mechanism for clearing the airway. However, the cough may be ineffective in both normal and disease states secondary to factors such as pain from surgical incisions/ trauma, respiratory muscle fatigue, or neuromuscular weakness.
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Nursing Care Plan for Sinusitis

Ineffective Airway Clearance related to obstruction / secret is thickened.

Purpose: Purpose: return airway is effective, within 10-15 minutes.

Expected outcomes are:

a) The client no longer uses the nostril breathing

b) The absence of additional breath sounds

c) Ronchi (-)

d) Respiration = 16-20 times / minute

e) The absence of chest wall retraction in 10-15 minutes.




 No  Nursing Interventions Rational
1.  Collaboration: Give neutralizer Nebulizier can dilute the secret and act as bronchodilators to widen the airway.
2. Chest X-ray and do clapping or vibration
Knowing the location of secret
3.
Teach effective cough (in patients who did not experience a decrease in consciousness and is able to cough effectively).
Removing the secret of the airway especially in patients who did not experience a decrease disturbance of consciousness and can perform an effective cough.
4. Observation of vital signs To find out the healthy development of clients.

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