SPONTANEOUS VENTILATION, IMPAIRED (81)    NUPA ASSESSMENT PROBLEMS (1927.2)

Name Value
PROBLEM SPONTANEOUS VENTILATION, IMPAIRED
PLAN
  • Observe for changes in respiratory status, increased work of breathing, and decrease in oxygen saturation.
  • Monitor ABG's, laboratory results, and vital signs.
  • Anticipate and prepare for ventilatory support. (Oxygen supplement, SVNs treatments, CPAP, BIPAP, mechanical ventilator).
  • Suction, as needed, and provide oral care.
  • Educate patient and family about procedures to be done, disease process and goals, and possible use of restraints.
  • Other
DESIRED OUTCOME 
Person is unable to maintain adequate breathing to support life. This is 
measured by deterioration of arterial blood gases, increase work of 
breathing, and decreasing energy.
ACTIVE YES