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Impaired Gas Exchange Case Study

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Goals & Interventions: 1. Nursing Diagnosis: Impaired gas exchange r/t exacerbation of COPD a.e.b. wheezing in patient’s throughout. Goals/outcomes: Patient will maintain adequate ventilation and have clear breath sounds within 24 hours upon auscultation. Goal met within 24 hours of initial respiratory assessment and maintained over a 24 hour period 10/26/2015. Plan Terminated. Interventions: 1. Establish baseline vitals and assess pt q2h. While auscultating sounds of lung fields no wheezing was found, and VS were within normal range for patient as determined through comparison of chartings on 10/23/2015 thru the morning and lunch VS of 10/26/ 2015 before impaired gas exchange was detected. 10/26/2015 2. Administer O2 @ 2L N/C …show more content…

This allowed staff to become an emotional and in some ways spiritual support for patient. Patient did not desire religious spiritual leader, because he is agnostic. Also, by providing staff that knew that patient’s non-verbal cues this helped increase communication between staff and patient. …show more content…

(2013, October 1). Correlation between lower gastrointestinal tract symptoms and quality of life in patients with stable chronic obstructive pulmonary disease. Retrieved October 22, 2015, from http://www.ncbi.nlm.nih.gov/pubmed/24660583 Lachman, V.D. (2009). Practical use of nursing code ethics: part II. Retrieved from https:// ol.baker.edu/bbcswebdav/pid-16728715-dt-content-rid-46195238_2/courses/nur205- f2015-ca-u-i0.001/Practical-Use-of-the-Nursing-Code-of-Ethics-Part-1.pdf Mandrola, J. MD. (2013, August 13). Atrial Flutter — 15 facts you may want to know. Retrieved October 21, 2015, from http://www.drjohnm.org/2013/08/atrial-flutter-15-facts-you-may-want-to-know/ Martin, D., & Grocott, M. (2015). Potentially Harmful Effects of Excessive Oxygen and Hyperoxemia. Retrieved October 27, 2015, from http://www.medscape.com/viewarticle/778505_3 Sheila, R., & Cynthia, T. (2014). Nursing Diagnosis Reference Manual (9 th. ed.). Wolters Kluwer Health| Lippincott Williams & Wilkins. Taylor, C., Lillis, C., Lynn, P., & LeMone, P. (2015). Fundamentals of nursing (8th

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