A nursing care plan for impaired gas exchange related to inadequate surfactant levels should focus on optimizing oxygenation and ventilation. Interventions may include administering supplemental oxygen, positioning the patient to enhance lung expansion (e.g., high Fowler's position), and monitoring vital signs and oxygen saturation closely. Collaborating with the healthcare team to assess the need for surfactant replacement therapy or mechanical ventilation may also be necessary. Regular assessment of respiratory status and patient response to interventions is crucial to ensure effective management.
Impaired gas exchange Ineffective airway clearance Activity intolerance
Impaired gas exchange /ineffective airway clearance /ineffective breathing
cor pulmonale
No, it is not. Infection is a medical diagnosis. For infection you should look to the specific case of your client and develop a nursing diagnosis based on their primary concerns. Example: Cellutis would be impaired tissue integrity, pneumonia would be impaired gas exchange.
A nursing evaluation for impaired gas exchange involves assessing the patient's respiratory status, including observation of breathing patterns, oxygen saturation levels, and auscultation of lung sounds. The nurse should evaluate the effectiveness of interventions implemented, such as oxygen therapy or positioning, and monitor for signs of hypoxia or respiratory distress. Additionally, the patient's response to treatment and any changes in vital signs or clinical status should be documented to inform ongoing care and adjustments in the care plan. This holistic assessment helps identify the effectiveness of interventions and guide further nursing actions.
Activity intoloreance related to impaired cardic functions manifested by apnoea, odema
A nursing diagnosis for pneumothorax could be "ineffective breathing pattern related to lung collapse resulting in impaired gas exchange." This diagnosis focuses on the patient's altered breathing pattern due to decreased lung capacity, which can lead to decreased oxygenation and potential respiratory distress. Nurses may implement interventions such as monitoring respiratory status, administering oxygen therapy, and providing education on deep breathing techniques to address this issue.
impaired physical mobility acute pain disturbed body image self care deficit risk for falls impaired coping...
Impaired skin integrity related to inflammation.
Ineffective breathing pattern related to decreased lung expansion Impaired gas exchange related to decreased lung function Acute pain related to inflammation of the pleura Risk for infection related to accumulation of fluid in the pleural space
risk for impaired physical mobility related to neuromuscular impairment (Medsurg)
impaired skin/tissue integrity r/t pressure ulcer