1. Ineffective airway clearance related to tracheobronchial obstruction, airway spasm, cardiac or pulmonary disease as evidenced by abnormal breath sounds, dyspnea /apnea, hypercapnia , hypoxemia etc
2. Impaired gas exchange related to ventilation perfusion mismatch as evidenced by hypercapnia, abnormal ABG values and abnormal breathing
3.Ineffective breathing pattern related to altered O2 - CO2 ratio, decreased lung expansion as evidenced by changes in respiratory rate and depth, decreased Po2 and Sao2, increased Pco2, dyspnea, noisy respirations etc
4. Decreased cardiac output related to decreased oxygenation as evidenced by dyspnea, tachypnea, dysrhythmias, changes in LOC etc
- WRITE A CARE PLAN FOR A CLIENT WITH - ACUTE RESPIRATORY FAILURE (HYPOXIA OR HYPERCAPNIA) (NOTE - CLIENT HAS A TRACH COLLAR IN PLACE AND ALSO COMPLAINED OF SEVERE SHORTNESS OF BREATH.) - CLIENT HISTORY / DEMOGRAPHICS - Male 40 y/o , Hispanic Abdominal sepsis , diabetes type 2 , had a CODE BLUE event , client has pneumonia, HTN, ascites, peritonitis, client is lethargic. - VITAL SIGNS - Temp - 98.3 * c Pulse - 67 RR -...
#1 Priority Nursing Diagnosis: Gordon's Functional Pattern: Goal: Outcomes: #2 Priority Nursing Diagnosis: Gordon's Functional Pattern: Goal: Outcomes: # 3 Priority Nursing Diagnosis: Gordon's Functional Pattern: Goal: Outcomes:
Develop one priority nursing diagnosis, one goal, and 3 nursing interventions for the mother.develp one priority nursing diagnosis, one goal, and 3 nursing interventions for the infant maternal newborn care plan
w h at is priority nursing diagnosis
Acute Respiratory Failure Concept Map Label each box with the following: 1.) Acute Respiratory Failure in center oval with definition 2.) Pathophysiology/ Etiology 3.) Clinical Manifestations/Assessment Findings - Give SPECIFICS, adventitious breath sounds its NOT specific enough. 4.) Treatment/Therapeutic Modalities 5.) Diagnostic Studies - Be SPECIFIC! What labs/imaging/diagnostic studies would be performed and what results would you anticipate 6.) Nursing Diagnosis -3 complete prioritized nursing diagnoses ( Nursing Diagnosis... related to....as evidenced by...) 7.) Complications
what is the priority nursing diagnosis for patients with gonorrhea?
Describe the nursing care for a child with respiratory failure.
Describe the nursing care for a child with respiratory failure.
Describe the nursing care for a child with respiratory failure.
I need help to complete this table. It,s about hypercapnia. Patterns Nursing Diagnosis Interventions Scientific Rational for intervention Evaluation 1) 2) 3) 4) 5) Nursing Diagnosis: Impaired gas exchange Intervention Auscultate breath sounds Intervention Assess for signs and symptoms of impaired gas exchange Intervention Monitor heart rate and rhythm 1) 2) 3) Evaluation 1: The patient has pulse oximetry readings within normal parameters. Evaluation 2: The patient has reduced signs and symptoms of impaired gas exchange. Evaluation 3: The patient...