Nanda Nursing Diagnosis

Nursing Care Plan for Asthma Impaired Gas Exchange : Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane Defining Characteristics: Visual disturbances; decreased carbon dioxide; dyspnea; abnormal arterial blood gases; hypoxia; irritability; somnolence; restlessness; hypercapnia; tachycardia; cyanosis (in neonates only); abnormal skin color (pale, dusky); hypoxemia; hypercarbia; headache on awakening; abnormal rate, rhythm, depth of breathing; diaphoresis; abnormal arterial pH; nasal flaring Asthma is a chronic, or life long, disease that can be serious—even life threatening. There is no cure for asthma. The good news is that it can be managed so you can live a normal, healthy life. Asthma is a lung disease that makes it harder to move air in and out of your lungs. There are three things that you should know about asthma: Asthma is chronic. In other words, you live with it every day. It can be serious – even life threatening. There is ...

Impaired Gas Exchange Nursing Diagnosis - Pulmonary Tuberculosis Nursing Diagnosis: Impaired Gas Exchange related to alveolar-capillary membrane damage. Objective: effective gas exchange. Expected outcomes: Demonstrated effective respiratory frequency. Improved gas exchange in the lung. Adaptive address causative factors. Plan of action: 1. Provide a comfortable position, usually with the head of the bed elevated. Return to the affected side. Encourage clients to sit as much as possible. R / Increase maximal inspiration, enhance ekpsnsi lung and ventilation on the side that does not hurt. 2. Observation of respiratory function, record the frequency of breathing, dyspnea or changes in vital signs. R / Respiratory Distress and changes in vital signs may occur as a result of physiological stress and pain can indicate the occurrence syock or in connection with hypoxia. 3. Explain to the client that it was carried out to ensure safety. R / knowledge of what is expected to reduce anxiety and...

  Nursing Diagnosis - Impaired Gas Exchange of Pulmonary Tuberculosis Tuberculosis, MTB, or TB (short for tubercle bacillus) is a common, and in many cases lethal, infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis. Tuberculosis typically attacks the lungs but can also affect other parts of the body. It is spread through the air when people who have an active TB infection cough, sneeze, or otherwise transmit their saliva through the air. Most infections are asymptomatic and latent, but about one in ten latent infections eventually progresses to active disease which, if left untreated, kills more than 50% of those so infected. The classic symptoms of active TB infection are a chronic cough with blood-tinged sputum, fever, night sweats, and weight loss (the latter giving rise to the formerly prevalent term "consumption"). Infection of other organs causes a wide range of symptoms. Diagnosis of active TB relies on radiology (commonly ...

Definition : Impaired Gas Exchange Circumstances where an individual has decreased course of gas (O2 and CO2) that an actual or risk of lung alveoli and the vascular system. Related Factors: Altered oxygen supply Alveolar-capillary membrane changes Altered blood flow Altered oxygen-carrying capacity of blood Nursing Care Plan for Impaired Gas Exchange Major Data Dyspnea when performing activities Minor data Confusion / agitation. The tendency to take a three-point position (sitting, one hand on each knee, leaning forward). Breathing with the lips with a long expiratory phase. Lethargy and fatigue . Increased pulmonary vascular resistance. Decrease in gastric motility. Decrease in oxygen content, decreased O2 saturation, PCO2 decreased as shown by the results of blood gas analysis. Cyanosis. Nursing Care Plan for Impaired Gas Exchange Nursing Care Plan for Hypothermia