Impaired Gas Exchange Nursing Diagnosis
Quiz: What is the nursing diagnosis impaired gas exchange? The correct answer is “no.” You’re right that it’s a made-up term, though. I made it up! And you can’t really use this nursing diagnosis in a hospital. But don’t worry, because there are many other real and clinically useful diagnoses that you can use instead.
Impaired Gas Exchange Nursing Diagnosis
1. Impaired Gas Exchange Nursing Diagnosis
- Increased difficulty in breathing is a common sign of this condition.
- Difficulty in breathing usually occurs when an individual has difficulty removing carbon dioxide from their blood. This can be caused by a number of factors, including poor blood flow and/or oxygen levels, which can lead to fatigue, weakness or even loss of consciousness if not addressed quickly enough.
2. Impaired Gas Exchange Definition
Impaired gas exchange is the inability of the body to exchange oxygen and carbon dioxide. This occurs when abnormalities in ventilation or perfusion prevent sufficient amounts of oxygen from reaching the lungs, and/or insufficient amounts of carbon dioxide are removed from blood. Impaired gas exchange is a life-threatening condition that requires immediate medical intervention.
Impaired Gas Exchange Causes
There are many causes for impaired gas exchange, including:
- pulmonary disorders (such as asthma)
- cardiovascular disorders (such as pulmonary embolism, congestive heart failure, or mitral valve stenosis)
- metabolic disorders (such as diabetic ketoacidosis)
3. Impaired Gas Exchange Etiology
Impaired gas exchange is caused by a restrictive or obstructive pulmonary disease.
4. Impaired Gas Exchange Pathophysiology
The alveoli are the sites where gas exchange occurs. The alveolar wall is made up of a thin epithelial layer with a basement membrane and surrounded by connective tissue. The alveolar wall is lined by alveolar cells that produce surfactant that prevents it from collapsing during breathing. The surface area for gas exchange in the lungs is proportional to their size, so an increase or decrease in overall lung size will affect how much oxygen can be exchanged at any given time.
There are two types of capillaries: pulmonary (located within the lungs) and systemic (located outside the lungs). Pulmonary capillaries have unique properties related to their location within an organ which help facilitate gas exchange between blood plasma and air sacs called alveoli; these include small diameter, increased permeability through tight junctions between endothelial cells lining each vessel, and direct contact between blood plasma and air inside alveoli due to its proximity
5. Impaired Gas Exchange Assessment
This assessment is performed to assess your patient’s ability to exchange oxygen and carbon dioxide.
- Check the patient’s pulse. A normal respiratory rate for an adult ranges from 12-20 breaths per minute, while a child’s rate should be between 20-40.
- Check the patient’s temperature, which should always be above 97 degrees Fahrenheit for adults but below 100 for children under two years old.
- Check the respiratory rate and note if it is changing or increasing over time (this could be a sign of pneumonia). You can also use stethoscopes or blood pressure cuffs to hear lung sounds such as wheezing or crackling noises that indicate fluid in the lungs (called rales).
- Also check their skin color; signs of cyanosis include blue lips or nail beds on fingers/toes; if this occurs during gas exchange problems like impaired breathing due to asthma attack then it means not enough oxygen getting into cells so they’re turning blue instead! Also check capillary refill time by pressing your finger against an area where there’s some blood flow in order do see how long it takes before color returns (if longer than 3 seconds then suspect something wrong based on clinical experience!).
6. Impaired Gas Exchange Outcomes
- Improvement of symptoms and signs (improved oxygenation, CO2 removal, and ventilation)
- Failure to improve or worsening of symptoms and signs (increased oxygen requirement, increased respiratory rate, increased work of breathing)
- Recovery from acute illness (respiratory distress syndrome) or injury (pneumonia; pulmonary edema; pulmonary embolism).
7. Impaired Gas Exchange Interventions
- Increase oxygen: If the patient is hypoxic, increase their FiO2 (Fraction of inspired oxygen). If the patient is hyperoxic, decrease their FiO2.
- Decrease carbon dioxide: If the PaCO2 is high, add respiratory stimulants (e.g., dobutamine) to increase alveolar ventilation rate and expel more CO2. Alternatively, you can decrease tidal volume; this decreases CO2 production.
- Increase respiratory rate: If a patient’s heart rate is low and they’re not getting enough blood flow to meet their metabolic needs because they’re not breathing fast enough to get enough air into their lungs efficiently, then increasing their respiratory rate will help them get more oxygen into their bloodstreams while also helping to lower carbon dioxide levels in their bodies by expelling it faster than normal out through expired air molecules during respiration
8. The nursing diagnosis impaired gas exchange is explored.
Impaired Gas Exchange
Impaired gas exchange is a nursing diagnosis that describes the inability of your body to oxygenate blood adequately. This can lead to hypoxia (lack of oxygen), and possibly tissue damage. Impaired gas exchange is caused by conditions such as pneumonia, chronic obstructive pulmonary disease (COPD), or asthma.
Etiology: This includes the factors that make a patient more likely to develop impaired gas exchange than someone without those factors. For example, if you have lung cancer, you’re at risk for developing impaired gas exchange because your lungs are no longer functioning properly as they should be able to do so normally through healthy cells in the lung tissue itself which help with gaseous exchange between air outside our bodies versus inside where gases like CO2 may build up too much causing these cells not being able to function properly anymore over time due lack of oxygen reaching them fast enough during times when we need it most such as during exercise when breathing becomes harder due increased demand on our bodies because we tend not eat well enough before doing so which leads back into having low levels energy stored up within us already before starting out too hard physical activity where there’s lots going on around us all day long every day; it’s only natural then when trying hard physically demanding tasks like walking uphill uphill uphill uphill climbing stairs going down hill again stopping halfway down but still needing more exertion from ourselves throughout each day we might end up feeling tired sleepy tired after having worked hard enough throughout all hours spent working hard physically demanding jobs despite how tired everyone else seems fine after working less since they did not spend just one hour doing something similar themselves
Impaired Gas Exchange is a nursing diagnosis that can be used to describe patients who have a difficulty with gas exchange in the lungs. This can result in cyanosis, altered mentation and decreased oxygen saturations, but most importantly it should be recognized by all nurses before it becomes too late.