Monday, January 18, 2010

Nursing Care Plan for Emphysema

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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