Question

Can someone help me make a adult nursing care plan about hypoxia?

DIAGNOSIS NURSING DIAGNOSIS PLANNING GOALSIOUTCOME IDENTIFICATION INTERVENTION NURSINGINTERVENTIONS With Rationale EVALUATION GOALS INTERVENTIONS I ASSESSMENT SUBJECTIVE & OBJECTIVE INFO HISTORICAL & CURRENT DATA Group Data (as it relates to the nursing diagnosis) List two measurable goals for each Nursing DX, one short term goal and one long term goal. Choose three priority nursing diagnoses: one related to physical needs, one related to psychosocial/spiritual needs, and one related to teaching needs. Use the appropriate diagnostic statement which reflects the data collected. List six interventions per nursing diagnosis to help your patient meet the goal and include the rationale (3 for STG & 3 for LTG). Put the rationale in a different color or use italics. Cite source(s) used by putting the name of the source, date, and page number in parenthesis. Do not copy from your source, but rather individualize your interventions for your patient. Type the full reference of the source in APA Format in the space provided at the end of the document. Were the goals met, partially met or not met? If not, what changes should be made? Were the interventions completed, effective, realistic, and/or appropriate? If interventions were not effective; what changes should be made? Subjective Data Physical 1. Short term goal: Goals: Interventions: Objective Data 2. Long term goal: Subjective Data Psychosocial/Spiritual 1. Short term goal: Goals: Interventions: Objective Data 2. Long term goal: Subjective Data Teaching Need 1. Short term goal: Goals: Interventions:

Answer 1

Nursing Care plan of hypoxia:

Assessment	Diagnosis	Planning	Intervention	Rationale	Evaluation
Subjective data: Difficulty in breathing Unable to breath. Objective data: Labored breathing diaphoresis Restlessness Use of accessory muscles. Low oxygen saturation.	Impaired Gas Exchange related to decreased oxygen supply as evidenced by shortness of breath.	1. Short term Goal: Patient will maintain normal ABG. 2.Long term Goal: The patient will maintain normal gas exchange.	Assess the rate, depth, and quality of respiration. Auscultate lung sounds. Monitor vital signs. Monitor ABGs. Encourage deep breathing and coughing exercises. Administer medication as indicated.	Rapid and shallow breathing results in hypoventilation. Absence of lung sound denotes pneumothorax To know the hypoxia and hypercapnia. Increased PaCo2 denote respiratory failure. To improve lung function. To reduce symptoms and improve lung function.	The patient is free from respiratory symptoms. PaCo2 maintained between 35 - 45 mmHg. Patient's lung sounds should be clear. The patient should maintain normal respiratory rate.
subjective data: weak tiredness Unable to move. Objective data: Use of accessory muscle Labored breathing Drowsy Weak appearance Unable to perform activities.	Impaired cognitive function related to hypoxic state as evidenced by fatigue.	1.Short term Goal: The patient should be energetic and free from fatigue. 2. Long term Goal: The nurse will able to perform activities of daily living.	Schedule patient activities based on his energy level. Reposition the client every 2 hours. Alternatively, give rest between periods. Provide assistive devices to support the patient's activities. Encourage adequate nutrition and supplementation. Provide space for prayers.	To decrease fatigue levels. To provide comfort to the patient. To balance the energy levels. To decrease the energy needs and improve function. To meet nutritional requirements. Spiritual support will improve patient confidence.	The patient reported that his energy level increased and able to do his daily activities with support. Appropriate nursing intervention improves the patient's basic energy level.
Subjective data: Unable to bath independently Difficulty in breathing on walking. Objective data: Restlessness Poor hygiene Use of accessory muscle Lack of knowledge	Self-care deficit related to hypoxemic state as evidenced by poor hygienic status.	1. Short term Goal: The patient was able to demonstrate self-care activities. 2.Long term Goal: The client can gain knowledge about his self-care activities.	Assess the level of function of the client. Place all the needed things within his reach. Educate about the importance of hygiene measures. Provide positive support to the client. Involve family members in client activities. Educate about his disease condition to cope up with the treatment.	To know the client abilities. To improve the safety of the patient and minimize unnecessary movement. To improve the general condition of the patient. To increase the confidence level of the patient. To increase patient support. Helps to improve speedy recovery.	The patient was able to cope up with his disease condition and able to do his daily activities without support. The patient has gained knowledge about self-care activities and hygenic measures.