nursing care plan for patient with impaired gas exchangeFull description
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NCPFull description
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ncp,
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this NCP is a student-made NCP for assignment in RLE. we are assigned in ER, that's why you'll see the number of hours i used are very limited. anyhow, the time frame, as i see it, is realis…Full description
GeriaFull description
Blindness is a condition in which an individual loses the visual recognition. Mobility and self reliability for the blind has dependably been an issue. A considerable measure has been made to propel advances that enhance blind and partial sighted ind
A selection of questions about the gas exchange topic (6.4)
Providing a great shopping experience to shoppers is the most competitive strategy taken by every grocery owners. They are striving to satisfy the growing demands of today’s savvy shoppers. Unfor...
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Contoh NCPDeskripsi lengkap
CUES
NURSING DIAGNOSIS
Impaired gas Sexchange r/t “nahihirapang ventilation huminga ang perfusion aking anak” imbalance. as verbalized by the patients mother.
O- Patient is restless. Rate, rhythm and depth of breathing is abnormal. Nasal flaring was noted. V/S: BP: 130/100 mmHg T: 36.6 ˚C P: 160 bpm R: 60 cpm
SCIENTIFIC BASIS
Perfusion to the myocardium is often impaired with left ventricular ventricular failure, and especially with cardiac hypertrophy. As the amount of blood ejected from the left ventricle diminishes, hypostatic pressure builds in the pulmonary venous system and results in fluid-filled alveoli and pulmonary congestion. (Ignatavicius; (Ignatavicius; 2006: p753)
GOAL & OUTCOME CRITERIA After 8 hours of nursing intervention the patient will be able to:
NURSING ACTIONS & NURSING ORDERS
Independent:
1. Elevated head of bed/ 1. Demo Demons nstr trat atee position client improved appropriately, appropriately, provide ventilation airway adjuncts and and adequate suction as indicated. oxygenation of tissues by 2.Encouraged frequent HBGs within deep breathing/ coughing clients normal exercises. limits 2. Part Partic icip ipat atee in treatment regimen(e.g, breathing exercises, effective coughing, use of oxygen) within level of ability/situatio n. 3. Verb Verbaaliz lize understanding of causative factors and appropriate intervention.
2. Promotes optimal chest expansion and drainage of secretions. (Deonges;2006:P26 8)
3. Reveals presence of pulmonary congestion/ collection of secretion, Collaborative: indicating need for further intervention. 1. Assisted with (Deonges;2006: procedures as individually P268) indicated ( e.g., transfusion, phlebotomy, bronchoscopy 1. to improve respiratory function/ oxygen-carrying capacity (Deonges;2006:P268)
EVALUATION
Goal – met when patient was able to demonstrate improved ventilation and adequate oxygenation of tissues by HBGs within clients normal limits
