8/13/2019 117006716 Impaired Gas Exchange Pneumonia Nursing Care Plan

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Pneumonia Nursing Care Plans

ASSESSMENT OBJECTIVES NURSINGINTERVENTIONS

RATIONALE EXPECTED OUTCOMES

restlessness irritability nasal flaring diaphoresis tachycardia dyspnea

Short term:After 6 hours ofnursing interventions thepatient will demonstrate

ease in breathing.

Long term:

After 2-3 days of nursinginterventions the patients

S.O will verbalizeunderstanding of thecausative factors that couldaggravate the condition andappropriate factors thatcould help the patient relivefrom gas exchange

impairment.

1.Monitor vital signsand assess patients

conditions.2.Auscultate lungs for

crackles ,consolidation and

pleural friction rub.3.Assess LOC, distress

and irritability.4.Observe skin color

and capillary refill.5.Encourage rest.6.Encourage elevated

HOB.7.Perform chest

physiotherapy afternebulization.

8.Administer oxygen asordered.

1.To establish baselinedata.

2.Determine adequacyof gas exchange

and detect areas ofconsolidation and

pleural friction rub.3.This signs may

indicate hypoxia.4.Determine

circulatoryadequacy, which isnecessary for gasexchange totissues.

5.Rest prevents tissueoxygen demand

and enhancestissue oxygenperfusion.

6.To facilitate lungexpansion toenhance breathing.

7.To dislodge thesecretions, for easyexpectoration

8. Improves gas-exchange decreasework of breathing.

Short term:The patientshall have demonstratedease in breathing.

Long term:

The patients S.O will

verbalized understanding ofthe causative factors thatcould aggravate thecondition and appropriatefactors that could help thepatient relive from gasexchange impairment.