101.6. ABGs were collected and the patients pCO2 74, pH 7.24, P02 55, HCO3 33.2. For post-pneumonectomy patients, position the patient with good lung down, which means positioning on the non-operative side. Objective/Goal: To improve gas exchange . 2. Impaired gas exchange is often treated using supplemental oxygen. When collecting primary subjective data, which is an appropriate source for the nurse to use? teaching pertinent to diagnosis), EVIDENCE In order to improve your outlook and reduce the risk of complications, its important that you stick to your COPD treatment plan. Nursing Diagnosis: Impaired gas exchange related to decreased ventilation secondary to opioid use as evidenced by respiratory rate of 6 respirations per minute, oxygen saturation 70%, and extreme lethargy. Otherwise, scroll down to view this completed care plan. Decreasing oxygen saturation levels mean hypoxia. Impaired gas exchange is a disruption of the oxygen and carbon dioxide exchange in the lung tissues. These conditions impact the lungs in different ways. Chronic obstructive pulmonary disease (COPD). Some mechanisms behind impaired gas exchange in COPD can include one or a combination of the following: When gas exchange is impaired, you cannot effectively get enough oxygen or rid your body of carbon dioxide. He is also now using 3 pillows to sleep at night instead of his usual 1 pillow, and he has experienced a 10-pound weight gain in 3 days. EKG Rhythms | ECG Heart Rhythms Explained - Comprehensive NCLEX Review, Simple Anatomy Quiz Most Nurses Get WRONG! . The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. Hypoxemia can cause heart rate and blood pressure changes and dangerous dysrhythmias. To increase activity level to patients baseline prior to discharge. Reposition the patient by elevating the head of the bed and encouraging him/her to sit on an upright sitting position or side-lying positions. What are the risk factors for developing impaired gas exchange and COPD? Provide reassurance and assess for increased. Administer anti-pyretics as prescribed for high fever. As an Amazon Associate I earn from qualifying purchases. Hypoxemia is a decreased level of oxygen in the blood while hypercapnia is an excess of carbon dioxide in the blood. Excess.. Mucous production . In people with COPD, gas exchange is often impaired. Clinical validation of ineffective breathing pattern, ineffective He reports over the past 3 days his shortness of breath, particularly with activity, has increased significantly. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. PLANNING Read theprivacy policyandterms and conditions. Abnormal She found a passion in the ER and has stayed in this department for 30 years. How do you develop a nursing care plan? Lab values and vital signs can also point to potential impaired gas exchange. Patient maintains optimal gas exchange as evidenced by usual mental This topic is now closed to further replies. Which action by the nurse is the most appropriate?

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