NCP for Emphysema
Nursing Diagnosis
Impaired gas exchange related to ventilation-perfusion abnormalities secondary to hypoventilation
Destination :
Patients can maintain adequate gas exchange
Results Criteria :
Patients able to demonstrate :
- Beep net pulmonary
 - The color of normal skin
 - Blood gases within normal limits for the estimated age
 
Intervention :
- Assess for signs and symptoms of hypoxia and hypercapnia
 - Monitor and record blood gas examination, examine the trend in the increase or decrease in PaO2 PaCO2
 - Help with the provision of mechanical ventilation according to indications, assess the need for CPAP or Peep.
 - Auscultation chest to listen to breath sounds every hour
 - Review the daily chest X-ray examination, or deviations noticed improvement
 - Monitor cardiac rhythm
 - Provide appropriate parenteral fluid orders
 - Provide customized medicines: bronchodilators, antibiotics, steroids.
 - Evaluation of AKS in conjunction with a decrease in oxygen demand.
 
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