Professional Documents
Culture Documents
o Problem Outcomes
1. Impaired gas The pt. will i. Note respiratory Respiratory may be increase as The pt. can
exchange be able to rate, depth and ease a result of pain. Increase work of demonstrate improve
related to demonstrate of respirations. breathing and cyanosis may ventilation and
increase improve Observe for the use indicate increasing oxygen adequate oxygenation
production of ventilation of accessory muscle, consumption and energy of tissue by ABGs
bronchial and pursed lip breathing, expenditures and reduced within pt. normal
secretions. adequate changes in skin @ respiratory reserve. range.
oxygenation mucus membrane
of tissue by colour.
ABGs within ii. Auscultate lungs air
pt. normal movement and Consolidation and lack of air
range. abnormal breath movement on operative side are
sound. normal in the pneumonectomy.
v. Reposition
frequently, placing
pt. in sitting position Promotes maximal ventilation
and semi-fowler’s and oxygenation and reduces
position. @prevent atelectasis.