Nursing diagnoses

  1. 0 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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  3. Visit  Stoogesfan profile page

    About Stoogesfan

    Joined Jun '12; Posts: 151; Likes: 17.

    4 Comments so far...

  4. Visit  hodgieRN profile page
    0
    Yes! The fact that she requires oxygen means there is an impairment. Also, desaturation is the big one.
  5. Visit  Stoogesfan profile page
    0
    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. Visit  Stoogesfan profile page
    0
    Anyone? It's due tonight and I am not sure about my wording.
  7. Visit  Esme12 profile page
    0
    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?


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