COPD Concept Map - Mr. Gomez: 3 Nursing Diagnosis

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Mr. Gomez: 3 Nursing Diagnosis: 1.Inaffective breathing pattern r/t chronic pulmonary obstruction 2.At risk for infection r/t disordered lung function 3.Altered Nutrition r/t dyspnea to mealtimes ... Concept map/ med list on page 2-5 2 Nursing Diagnosis Ineffective breathing pattern r/t chronic pulmonary obstruction AEB signs and symptoms tachypnea and confusion Age 68 Sex: Male Past Medical History COPD Allergies: Ampicillin, Reason for Admission Patient was found on the floor at home unresponsive Objective BP: 150/40 Pulse: 100 Resp: 36 Temp: 99.2 F O2: 91% Subjective: Patient denying he is in any pain, Nursing Interventions Rationales for Nursing Interventions Assess Assess Monitoring oxygenation saturation to identify if methods are improving patient condition and O2 needs Continue to assess vital signs Listen to lung sounds frequently to see if crackles/wheezing have worsened or improved if patient was able to expectorate during the shift Assess Neuro signs due to CO2 consumption Hypercarbia may lead to confusion [Show More]

Last updated: 9 months ago

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