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D. Nursing Care Plan: Impaired Gas Exchange Related To Altered Oxygen Supply As Evidenced by Difficulty in Breathing

The nursing care plan involves assessing a patient experiencing difficulty breathing. The diagnosis is impaired gas exchange related to altered oxygen supply. The plan is to implement 8 hours of nursing interventions to improve the patient's ventilation and oxygenation, as evidenced by increased oxygen saturation. Interventions include positioning the patient for optimal breathing, demonstrating deep breathing techniques, and encouraging sustained deep breaths. The expected outcomes are that after 8 hours the patient will demonstrate improved breathing and oxygenation, and indicate feeling less respiratory distress.

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Reinette Lastrilla
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2K views2 pages

D. Nursing Care Plan: Impaired Gas Exchange Related To Altered Oxygen Supply As Evidenced by Difficulty in Breathing

The nursing care plan involves assessing a patient experiencing difficulty breathing. The diagnosis is impaired gas exchange related to altered oxygen supply. The plan is to implement 8 hours of nursing interventions to improve the patient's ventilation and oxygenation, as evidenced by increased oxygen saturation. Interventions include positioning the patient for optimal breathing, demonstrating deep breathing techniques, and encouraging sustained deep breaths. The expected outcomes are that after 8 hours the patient will demonstrate improved breathing and oxygenation, and indicate feeling less respiratory distress.

Uploaded by

Reinette Lastrilla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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D.

Nursing Care Plan

ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION


SUBJECTIVE DATA Impaired gas exchange After 8 hours of nursing  Place patient with  A sitting position After 8 hours of nursing
“Nahihirapan talaga siya related to altered oxygen interventions, the client proper body alignment permits interventions, the client
huminga” as verbalized by supply as evidenced by will: for maximum breathing maximum lung was able to:
patient’s daughter difficulty in breathing pattern. excursion and
 Demonstrate improved chest expansion.  Demonstrate
ventilation and improved
adequate oxygenation  Note respiratory rate,  Respirations may ventilation and
of tissues by increased depth and ease. observe be increased as a adequate
O2 saturation for use of accessory result of pain oxygenation of
OBJECTIVE DATA
muscles, pursed- lip tissues by increased
 Patient indicates, breathing, changes in O2 saturation
 Difficulty of breathing
either verbally or skin or mucous
 Restlessness through behavior, membrane, pallor,  Patient indicates,
 Hypoxemia feeling of less cyanosis either verbally or
 Dependence on O2 respiratory distress through behavior,
supplementation of 3 Encourage sustained deep  These feeling of less
lpm breaths by: techniques respiratory distress
 Using demonstration: promotes deep
highlighting slow inspiration,
inhalation, holding end which increases
inspiration for a few oxygenation and
seconds, and passive prevents
exhalation atelectasis.
 Utilizing incentive Controlled
spirometer breathing
 Requiring the patient to methods may
yawn also aid slow
respirations in
patients who are
tachypneic.
Prolonged
expiration
prevents air
D. Nursing Care Plan

trapping.

 This prevents
 Encourage small crowding of the
frequent meals. diaphragm

 These measures
Teach patient about: allow patient to
 pursed-lip breathing participate in
 abdominal breathing maintaining
 performing relaxation te health status and
chniques improve
 performing relaxation ventilation.
techniques
 taking prescribed
medications (ensuring
accuracy of dose and
frequency and
monitoring adverse
effects)
 scheduling activities to
avoid fatigue and
provide for rest periods

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