Nursing diagnoses

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  1. by Nov 4, '12
    Quick question: my patient has copd and is on 2 liters of O2 and spo2 was 97%. Can I still use impaired gas exchange? Without the oxygen her stats drop and she complains of dyspnea even with the o2.
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    by Stoogesfan Nov 4, '12 5:35 pm
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  3. 4 Comments so far...

  4. Nov 5, '12 by
    Yes! The fact that she requires oxygen means there is an impairment. Also, desaturation is the big one.
  5. Nov 5, '12 by
    Ok thanks.
    I'm having trouble on the wording tho. Would it be Impaired Gas Exchange r/t ventilation-perfusion imbalance or COPD? Also the aeb, would it be dyspnea and desaturation to 86% or would I say aeb by requirement of O2 to maintain spo2 >90%?
  6. Nov 6, '12 by
    Anyone? It's due tonight and I am not sure about my wording.
  7. Asst. Admin
    Nov 6, '12 by
    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

    Defining Characteristics

    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......

    Make sense?