Nursing 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
- oxygen-carrying blood disorders
- impaired oxygen delivery
- Dyspnea, cyanosis
- Nervous / mental changes
- 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.
- Elevate the head and thrust frequently change position, breathe deeply and cough effectively.
Give oxygen therapy correctly.Rational: to maintain PaO2 above 60 mmHg. Oxygenation provided with a method that provides precise delivery.