Impaired Gas Exchange
Related to:
- Changes in membrane alveolar - capillary (inflammatory effects)
- Disorders of blood oxygen capacity
Defining Characteristics:
- Dyspnea, cyanosis
- Tachycardia
- Restlessness / mental changes
- Hypoxia
Expected Results:
- Showed improved ventilation, and tissue oxygenation
- Participate in actions to maximize oxygen
Nursing Intervention:
- Assess the frequency, depth and ease of breathing
- Observation of the color of the skin, mucous membranes and nail
- Assess mental status
- Monitor the status of the heart / rhythm
- Watch body temperature, within their indications. Help comfort measures to reduce fever and chills
- Maintain bed rest
- Elevate the head and thrust often change position, breathe deeply and cough effectively
- Assess the level of anxiety. Encourage states problems / feelings.
- Give oxygen therapy correctly