GAS EXCHANGE IMPAIRMENT (26)    NUPA ASSESSMENT PROBLEMS (1927.2)

Name Value
PROBLEM GAS EXCHANGE IMPAIRMENT
PLAN
  • Assess and monitor hydration and electrolytes.
  • Assess and monitor patient to ensure airway patency and adequate gas exchange.
  • Change position, as needed, to facilitate chest expansion.
  • Educate patient/family the reasons for oxygen therapy and other interventions, which may be required (low/high flow oxygen, suctioning, SVN's and possibility for intubation and mechanical ventilation).
  • Monitor mental status changes, restlessness, and irritability or increased fatigue
  • Other
  • Suction, as needed, and provide oral hygiene.
  • Assess lung sounds, respiratory rate, depth, effort and production of sputum.
  • Monitor blood gases results/pulse oximetry to assess oxygenation and ventilatory status.
DESIRED OUTCOME
Actual or potential decreased passage of gases (oxygen and carbon 
dioxide) between the alveoli of the lungs and the vascular system.
ACTIVE YES