it may not be enough to meet the requirements of the body cells or the body may be unable to use the insulin produced. This means that the body’s many cells are not receiving the food source they need to function. Impaired gas exchange related Client goal: Client will have Administer 1) Goal partially met. I was to decreased oxygenation of adequate oxygenation. bronchodilator able to administer ventolin and alveoli secondary to COPD as medications to maintain atrovent to client for AM meds Client outcome: Client will evidenced by SPO2 of 92% on a patent airway and but the client refused to inhale have an adequate room air. improve alveolar the atrovent after administering oxygen/carbon dioxide ventilation. (Day, Paul, the ventolin during noon meds. exchange as evidenced by Williams, Smeltzer & The client’s respirations were SPO2 of >92%, no evidence of Bare, 2014, p. 652) 16 breaths a minute, shallow cyanosis and unlabored Monitor sputum for any and unlabored upon 0730 vital respirations between 12-20. signs of infection signs and after lunch including a change in respirations were 12 breaths a colour, character, minute, deep and unlabored. consistency or amount Will continue with this and take temperature intervention throughout care daily. (Day et. al., 2014, and new ways to p. 660) encourage the client to accept Monitor and report any the inhalers. signs or symptoms of 2) Goal met. Upon mucous hypoxia or dyspnea productive coughs during including cyanosis, a lunchtime I noted sputum was SPO2 of < 92% or
it may not be enough to meet the requirements of the body cells or the body may be unable to use the insulin produced. This means that the body’s many cells are not receiving the food source they need to function. Impaired gas exchange related to decreased oxygenation of alveoli secondary to COPD as evidenced by SPO2 of 92% on room air. Client goal: Client will have adequate oxygenation. Client outcome: Client will have an adequate oxygen/carbon dioxide exchange as evidenced by SPO2 of >92%, no evidence of cyanosis and unlabored respirations between 12-20. Administer bronchodilator medications to maintain a patent airway and improve alveolar ventilation. (Day, Paul, Williams, Smeltzer & Bare, 2014, p. 652) Monitor sputum for any signs of infection including a change in colour, character, consistency or amount and take temperature daily. (Day et. al., 2014, p. 660) Monitor and report any signs or symptoms of hypoxia or dyspnea including cyanosis, a SPO2 of < 92% or 1) Goal partially met. I was able to administer ventolin and atrovent to client for AM meds but the client refused to inhale the atrovent after administering the ventolin during noon meds. The client’s respirations were 16 breaths a minute, shallow and unlabored upon 0730 vital signs and after lunch respirations were 12 breaths a minute, deep and unlabored. Will continue with this intervention throughout care and new ways to encourage the client to accept the inhalers. 2) Goal met. Upon mucous productive coughs during lunchtime I noted sputum was
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