Oct. 14, 2020. Now let’s discuss the nursing. Chest x-rays may guide the etiological factors of the impaired gas exchange. 2008; 81(3):310-9 (ISSN: 1537-5293) Discussion of the Problem. Monitor oxygen saturation continuously, using pulse oximeter. The last nursing diagnosis is ineffective airway clearance. Our patient has a lot of gunk in their lungs that they need to get out to improve that gas exchange and decrease the growth of infection in the lungs. Impaired gas exchange secondary to pain as evidenced by O2 saturation 89% on RA. ... watch for onset of hypoventilation as evidenced by increased somnolence after … Blog. 3. Note blood gas results as available. Infection with lung consolidation, alveolar collapse. Impaired gas exchange is an excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane. Physiol Biochem Zool. This COPD nursing diagnosis may be related to bronchospasm, air-trapping and obstruction of airways, alveoli destruction, and changes in the alveolar-capillary membrane. Impaired gas exchange related to altered oxygen supply as evidenced by crackles at both bases and need for oxygen therapy. In late stages the client becomes lethargic, somnolent, and then comatose (Pierson, 2000). 1. Our desired outcome for evaluation is that the patient’s gas exchange will improve as evidenced by normal pulse ox levels. Impaired Gas Exchange related to ventilation-perfusion inequality. Changes in behavior and mental status can be early signs of impaired gas exchange (Misasi, Keyes, 1994). Impaired Gas Exchange Care Plan Writing Services is mainly about a deficit or excess of oxygenation or elimination of carbon dioxide at the alveolar-capillary membrane.Both situations can cause hypoxemia and hypercapnia.Nursing Writing Services offers the best Impaired Gas Exchange Care Plan writing services online.. Gas exchange takes place by diffusion between alveoli and pulmonary. 2. Nursing ANALYSIS Objectives and Interventions Rationale evaluation (Pneumonia) Diagnosis goals Impaired Gas Pneumonia is Exchange r/t an altered oxygen Assess respirations: supply inflammatory Long Term Rapid, shallow breathing and Patient is free of quality, rate, pattern, condition of Goal depth and breathing hypoventilation affect gas signs of distress. Subjective Data: The patient states she does not wear any oxygen at home. Outcome: The patient will maintain adequate gas exchange as evidenced by return of arterial blood gas (ABG) values back to his baseline by discharge. Impaired gas exchange NANDA Nursing Diagnosis Domain 4. NURSING DIAGNOSIS• Decreased cardiac output related to restricted cardiac muscle contractility as evidenced by echocardiographic finding• Impaired gas exchange related to expiratory airflow obstruction as evidenced by decreased oxygen saturation levels 51. Risk for constipation related to … nursing care plan for patient with impaired gas exchange Nursing Diagnosis: Impaired Gas Exchange related to altered oxygen supply as evidenced by shortness of breath, oxygen saturation of 82%, restlessness, and reduced activity tolerance Desired Outcome: The patient will demonstrate adequate oxygenation as evidenced by … Nursing diagnosis: impaired gas exchange related to altered blood flow to alveoli or to major portions of the lung; alveolar-capillary membrane changes—atelectasis, airway or alveolar collapse, pulmonary edema or effusion, excessive secretions or active bleeding Possibly evidenced by. 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