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.
