Covenant

Health System

Respiratory Therapy Care Plan

Evaluation Date/Time___________________ Re-evaluation Date___________________

Patient Clinical Indicators

HHN/MDI	CPD/PD	IS/BIPAP	O2/SpO2	RAD (reactive airway disease)	Suctioning
wheezing /SOB	rhonchi	atelectas/x-ray	O2 titration to keep>92%	chronic cough	presence of secretions
history of bronchospasm	productive cough with increased sputum prod. >30cc/day	mgmt of hypercapnic respiratory failure	clinical signs of hypoxemia <92% or <65 PAo2 with Pt on RA	decreased airflow PF <70% of personal best/predicted	ineffective cough
tenacious secretions		decreased breath sounds	chest pain with cardiac history >92%	hx of asthma home txs
					artificial airway
	history of mucus prod. disease
		prevent atelectasis
			home o2
home txs
					vital capacity
			post op protocol to keep >92%	respiratory distress/wheezing
inflamation mucosal edema	pt. unable to deep breathe & cough spontaneously

HHN/MDI Therapy/Meds Patient Care Plan RAD HHN MDI Frequency

Bronchial hygiene pos. drainage percussion/vibration flutter valve/ quad cough

IS/BIPAP IS CPAP BIPAP/ per physician

Oxygen therapy FiO2%______ liters/ min______ with exercise

Monitoring O2 titration cont. oximeter ABG’s resp. mechanics

Suctioning nasal tracheal tracheal oral

Education: asthma/peak flow pulmonary rehab other

Comments:

Therapist Signature:

Physician Signature: Date: