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Nursing Care Plan Impaired Gas Exchange

 Nursing Care Plan Impaired Gas ExchangeNursing Care Plan Impaired Gas Exchange Definition: Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane [This may be an entity of its own, but it also may be an end result of other pathology with an interrelatedness between airway clearance and/or breathing pattern problems.]Nursing Care Plan Impaired Gas Exchange

Related to:

  • oxygen-carrying blood disorders
  • impaired oxygen delivery
Characterized by:
  • Dyspnea, cyanosis
  • Tachycardia
  • Nervous / mental changes
  • Hypoxia
Nursng Interventions for Pneumonia:
  • Assess the frequency / depth and ease of breathing

Rational: the manifestation of respiratory distress depends on the indication of the degree of lung involvement and general health status

  • Observe the color of skin, mucous membranes and nails. Note the presence of peripheral cyanosis (nail) or central cyanosis.

Rational: nails showed cyanosis vasoconstriction body’s response to fever / chills, but cyanosis on the ears, mucous membranes and skin around the mouth indicate systemic hypoxemia.

  • Assess mental status.
Rational: nervous irritability, confusion and somnolence may indicate cerebral hypoxia or decreased oxygen.
  • Elevate the head and thrust frequently change position, breathe deeply and cough effectively.
Rationale: This action increases the maximum inspiration, increased spending secretions to improve ventilation ineffective.
  • Collaboration

Give oxygen therapy correctly.Rational: to maintain PaO2 above 60 mmHg. Oxygenation provided with a method that provides precise delivery.