Make a Nursing Care Plan for "Impaired Gas exchange related to permanent damage of the bronchial walls"  Follow this format

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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Make a Nursing Care Plan for "Impaired Gas exchange related to permanent damage of the bronchial walls" 

Follow this format
 
Client: Jon Stark
Care Plan by: W. Smith, RN
Date initiated: 12-29-2018
ASSESSMENT
(+) Dyspnea
(+) Abnormal breath
sounds
Heart rate - 128bpm
Restlessness
(+) Productive cough
Student Nursing Care Plans
DIAGNOSIS
Impaired gas
exchange RT
collection of mucus
in airways
OUTCOMES
Patient will maintain
optimal gas
exchange.
INTERVENTIONS
1. Assess respirations:
note quality, rate,
rhythm, depth, use of
accessory muscles.
ease, and position
assumed for easy
breathing.
2. Elevate head and
encourage frequent
position changes,
deep breathing, and
effective coughing.
RATIONALE
1. Manifestations of
respiratory distress
are dependent
on/and indicative of
the degree of lung
involvement and
underlying general
health status as
patients will adapt
their breathing
patterns to facilitate
effective gas
exchange.
2. These measures
promote maximum
chest expansion,
mobilize secretions
and improve
ventilation.
EVALUATION
Patient maintained
optimal gas
exchange AEB
normal respiratory
rate, (-) dyspnea,
effective coughing
techniques.
Nurseslabs
Transcribed Image Text:Client: Jon Stark Care Plan by: W. Smith, RN Date initiated: 12-29-2018 ASSESSMENT (+) Dyspnea (+) Abnormal breath sounds Heart rate - 128bpm Restlessness (+) Productive cough Student Nursing Care Plans DIAGNOSIS Impaired gas exchange RT collection of mucus in airways OUTCOMES Patient will maintain optimal gas exchange. INTERVENTIONS 1. Assess respirations: note quality, rate, rhythm, depth, use of accessory muscles. ease, and position assumed for easy breathing. 2. Elevate head and encourage frequent position changes, deep breathing, and effective coughing. RATIONALE 1. Manifestations of respiratory distress are dependent on/and indicative of the degree of lung involvement and underlying general health status as patients will adapt their breathing patterns to facilitate effective gas exchange. 2. These measures promote maximum chest expansion, mobilize secretions and improve ventilation. EVALUATION Patient maintained optimal gas exchange AEB normal respiratory rate, (-) dyspnea, effective coughing techniques. Nurseslabs
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