newby09

newby09

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About newby09

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  1. Impaired gas exchange?

    It is difficult for me to come up with goals- don't know why, but especially in this case- as I have no ABG's I guess I could go with -short term goal- Will exhibit adequate improvement of shortness of breath, with return to normal baseline respirato...
  2. Impaired gas exchange?

    OK, this is what I came up with - Impaired gas exchange r/t alveolar-capillary membrane changes and retained secretions, secondary to COPD, AEB dyspnea, tachypnea, orthopnea, diminished breath sounds in lower lung fields and absence of cough. Any id...
  3. Impaired gas exchange?

    Any other comments, ideas, thoughts would be greatly appreciated. And thanks for the comments/help I have received thus far.
  4. Impaired gas exchange?

    OK, I kind of agree with you on the ABG's. How about this - Ineffective breathing pattern r/t obesity, secondary to COPD, AEB dyspnea and tachypnea. OR Ineffective airway clearance r/t retained secretions, secondary to COPD, AEB dyspnea, absent coug...
  5. Impaired gas exchange?

    So, you are saying that this does not fit- Impaired gas exchange r/t alveolar-capillary membrane changes, secondary to COPD, AEB dyspnea, tachypnea, and diminished breath sounds in bilateral lower lung fields. I forgot to mention that her repirations...
  6. Impaired gas exchange?

    I thought so too, but when I asked my instructor about it, she said that I had to focus my nursing diagnosis towards the ABC's and that she would not accept activity intolerance for this patient- she even went so far as to suggest impaired gas exchan...
  7. Impaired gas exchange?

    OK, I am very new to this- but I am going to give it my best shot. I had a 59 year old female patient- DX- bilateral lower ext. cellulitis(from fungal infection), COPD, DM, Morbid Obesity (unsure of weight- couldn't be weighed at hospital, and had no...