What does NANDA say? Impaired Gas exchange
NANDA-IDefinition (Ackley: Nursing Diagnosis Handbook
, 9th Edition) Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane
Abnormal arterial blood gases; abnormal arterial pH; abnormal breathing (e.g., rate, rhythm, depth); abnormal skin color (e.g., pale, dusky); confusion; cyanosis; decreased carbon dioxide; diaphoresis; dyspnea; headache upon awakening; hypercapnia; hypoxemia; hypoxia; irritability; nasal flaring; restlessness, somnolence; tachycardia; visual disturbances
Related Factors (r/t)
Ventilation-perfusion imbalance; alveolar-capillary membrane changes
Impaired Gas Exchange R/T Ventilation-perfusion imbalance due to COPD AEB......