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Nursing Diagnosis: Ineffective Breathing Pattern Related to: Smoking Impaired gas exchange Complications of cigarette smoking As evidenced by: Decreased expiratory pressure Decreased inspiratory pressure Hypoxemia Hypoxia Coughing Nasal flaring Tachypnea Bradypnea Hyperventilation Hypoventilation Expected Outcomes: The patient will be able to breathe comfortably with respiratory rate and rhythm with normal parameters The patient will not develop preventable lung diseases Assessment: 1

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therefore the consequences of smoking cannot be attributed only to nicotine [68]

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Fumigation ( dhupa ) and fire offerings ( homa ) are prescribed in the Ayurveda for medical purposes and have been practiced for at least 3,000 years while smoking, dhumrapana has been practiced for at least 2,000 years