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Discussion

Nursing diagnoses

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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    • Featured Replies

    Yes! The fact that she requires oxygen means there is an impairment. Also, desaturation is the big one.

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    • Author

    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%?

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    • Author

    Anyone? It's due tonight and I am not sure about my wording.

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    • Experts

    What does NANDA say? Impaired Gas exchange

    NANDA-I Definition (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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    Impaired gas exchange r/t alveolar cap member changes eab (what u saw).....

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