Nursing Diagnosis for Premature Baby Impaired Gas Exchange
This nursing intendance program include a diagnosis, and many interventions for the following weather condition: Pulmonary Embolism, PE
What are nursing care plans? How do you develop a nursing care plan?
What nursing care programme volume practice you recommend helping you develop a nursing care programme?
This care programme is listed to give an example of how a Nurse (LPN or RN) may program to treat a patient with those conditions.
Of import Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes but, and some of these treatments may modify over time. Do not treat a patient based on this care plan.
Care Plans are often developed in unlike formats. The formatting isn't always important, and care plan formatting may vary amidst different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The nigh important part of the care plan is the content, equally that is the foundation on which you lot will base your care.
Nursing Intendance Program for: Pulmonary Embolism PE
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care programme.
Scenario: |
| A 65 twelvemonth erstwhile female presents to your floor from the ER. The patient is admitted for dyspnea. Y'all note that the patient presents with extreme dyspnea on an type of action, especially during airing. You notation the patient'southward O2 saturation drops during activeness to 82% on room air. While resting the patient oxygen saturation is 88-89%. You place the patient on 2L nasal cannula. The patient states she does not wear whatsoever oxygen at home. She states she started feeling very curt of breath and having "breast like hurting" on inspiration e'er since she got back from her church mission trip from China which was two days ago. She said she thought information technology was pneumonia simply she hasn't been coughing upwardly annihilation. Patient'south history includes: Breast Cancer 2000, double mastectomy 2001, Appendectomy 1983, Rhinoplasty 1999. VS: HR 105, BP 115/82, O2 Saturation 93% 2L nasal cannula, Temp. 98.half-dozen, RR 21, pain 2 on 1-10 scale. D-Dimer 920, Troponin 0.01. Pt had a CT scan with PE protocol performed before arrival to your floor and the results showed positive for Pulmonary Embolism. Pt is started on Lovenox 1mg/kg BID subq and Coumadin 5mg PO daily. Current INR 1.2. |
Nursing Diagnosis: |
| Impaired gas exchanged related to decrease pulmonary perfusion associated with obstruction of pulmonary arterial blood menstruum by the embolus as prove by dyspnea, positive for Pulmonary Embolism, and aberrant pulse oximetry. |
Subjective Data: |
| The patient states she does not wear whatsoever oxygen at home. She states she started feeling very short of breath and having "chest like pain" on inspiration e'er since she got dorsum from her church building mission trip from People's republic of china which was 2 days ago. She said she thought it was pneumonia but she hasn't been coughing up anything. |
Objective Data: |
| A 65 year one-time female person presents to your floor from the ER. The patient is admitted for dyspnea. Yous note that the patient presents with extreme dyspnea on an type of activity, specially during ambulation. You annotation the patient's O2 saturation drops during activity to 82% on room air. While resting the patient oxygen saturation is 88-89%. Y'all place the patient on 2L nasal cannula. Patient's history includes: Chest Cancer 2000, double mastectomy 2001, Appendectomy 1983, Rhinoplasty 1999. VS: 60 minutes 105, BP 115/82, O2 Saturation 93% 2L nasal cannula, Temp. 98.6, RR 21, pain ii on 1-10 scale. D-Dimer 920, Troponin 0.01. Pt had a CT browse with PE protocol performed before arrival to your floor and the results showed positive for Pulmonary Embolism. Pt is started on Lovenox 1mg/kg BID subq and Coumadin 5mg PO daily. Electric current INR one.two. |
Nursing Outcomes: |
| -Pt'due south oxygen saturation volition be 90-100% during hospitalization.-Pt volition be gratis from any injuries due to bleeding side effects of anti-coagulation therapy. -Pt will demonstrate two breathing techniques to employ during dyspneic episodes to help forestall hypoxia. -Pt will verbalize v important things she must monitor while taking the anti-coagulate Coumadin. |
Nursing Interventions: |
| -The nurse volition titrate oxygen supplementation to go along patient's oxygen saturation 90-100%.-The nurse will educate the patient most using the phone call calorie-free before ambulation to assist foreclose autumn injuries. -The nurse will teach and demonstrate to the patient 2 breathing techniques to utilise during dyspneic episodes. -The nurse volition provide the patient will Coumadin education materials and enquire the patient to verbalize v important things she must monitor while taking Coumadin. |
Source: https://www.registerednursern.com/nursing-diagnosis-for-pulmonary-embolism-nursing-care-plan-interventions-impaired-gas-exchanged-related-to/
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