SMART: Specific, Measurable, Objective/Goal: To improve gas exchange . Smoking when you have COPD can make your condition worse and can contribute to an increased impairment in gas exchange. Elsevier. The patient has a history of obstruction sleep apnea and states (when awake) she does not wear her CPAP machine at night because it is too loud. Etiology The most common cause for this condition is poor oxygen levels. Having certain other health conditions is also associated with a poorer COPD outlook. Continue with Recommended Cookies. Reposition the patient by elevating the head of the bed and encouraging him/her to sit on an upright position. The client's self-reports. Increased breathing effort is a sign of hypoxia. required for EACH The patient is a current smoker and has been since she was 19 years old. Monitor O2, temp, and Reports of sudden extreme dyspnea/air hunger, Head and bed elevation 20-30 degrees, semi-Fowlers position to reduce oxygen consumption and to promote maximal lung inflation, Engaging client in therapy regimen as it may enhance sense of control and cooperation with restrictions, Gradual increase in activity as allowed and tolerated. Kent BD, et al. Based on these analyses, implemented on a Field Programmable Gate Array, we will interrupt the test exactly when the dominating elementary mechanisms . diagnosis-problem). I was going to go with ineffective gas exchange, impaired swallowing, risk for infection ( he was on an infectious disease floor) and knowledge deficit. To improve the delivery of oxygen in the airways and to reduce shortness of breath and risk for airway collapse. While we currently use primarily office automation tools to record service activity and generate related reports for our industrial services business, we are exploring the use of an electronic . Never position him/her on the operative side. Youll breathe in supplemental oxygen through a nasal cannula or a mask. Interventions are classified into the following seven domains: family, behavioral, physiological, complex physiological, community, safety, and health system interventions. Reversal agents will diminish the respiratory depression caused by opiates. PRACTICE (Rationale Chair/bedrest will limit the bodys oxygen demand beyond the usual requirements. -The nurse will verbalize 5 benefits of the pneumococcal vaccine to the patient within 24 hours. Appropriate breathing and coughing techniques mobilize secretions and increase air exchange and oxygenation. Impaired gas exchange can manifest with a variety of signs and symptoms. The patient is excessively sleepy and falls asleep easily even with stimuli. Suction as needed. OUTCOME STATEMENTS COPD, and by extension the impaired gas exchange associated with it, is caused by long-term exposure to environmental irritants.
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