nursing care plan ineffective breathing pattern/rt pain?

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Hello all,

I always struggle with making care plans esp the related to factor. Idk if I just overthink things but some input would be highly appreciated.

My nursing diagnosis is for a pt that has a peptic ulcer. Their vitals show a low bp, low O2 sat (90) increased respirations and has been vomiting bright red. The patient vocalized weakness and pain.

What I came up w/ as 1 of the diagnosis is ineffective breathing pattern r/t pain.

Is this correct or would it be more accurate to put a different r/t factor.

I appreciate any feedback!

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how fast were the respirations?

24? - probably not an issue

34? - huston we have a problem

pain may or may not be the reason for the increased respirations for this pt..

Low BP, Low SpO2, increased respirations, gross blood loss --- are we in shock????

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17 hours ago, fransy said:

What I came up w/ as 1 of the diagnosis is ineffective breathing pattern r/t pain.

As noted above, pain is not the most likely reason for the breathing difficulty. When you make a choice about your nursing dx, even just briefly following it through in your mind can help you decide if your choice is a good one. For example - - with this patient who is vomiting blood, to say that it's a matter of not breathing properly due to pain would suggest that your main interventions should center around getting pain under control, and that doing so would take care of the problem with their breathing. Is that the case, here? No.

In this case, not only is "pain" not the most relevant "r/t," but there are a couple of key nursing diagnoses that better address what is actually going on here than "ineffective breathing pattern" does.

Other things are impaired and deficient. What are they, and why?

?

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Specializes in Mental Health.

Increased respirations do not cause lowered O2, they would cause decreased CO2 if you were looking at ABGs, but O2 sat would be just fine.

Blood loss, low BP... start there and think through what's going on.

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