Nursing diagnoses | allnurses

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.
  2. 4 Comments so far...

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