what nursing goals can i use for impaired gas exchange related to inadequate oxygen supply?
338520
**Pt will maintain activity level within capabilities\n**Oxygen saturation greater than 95%\n**Maintain normal respiratory rate @ _____\n**Normal ABGs\n\nHope this helps\nR. Maddox RN BSN
262044
If the condition has no name, than all I can tell you are the effects of what she's going through and what she can expect in the future.  \n\nImagine alveoli as tiny inflatable balloons in your lungs.  When you breathe in, they stretch, filling with air.  The concentration within the alveoli is very great, and causes a transfer of the oxygen from the alveoli to surrounding blood cells.  This is how the rest of the cells get its energy from blood.\n\nUnfortunately, your friend's alveoli are punctured and cannot inflate as well as they should.  As she breathes, the holes may get larger and become absolutely useless (this is why she is no longer allowed to exersize - to prevent heavy breathing).  \n\nAlveoli are very difficult to treat.  They do not heal like other tissue such as the skin does.  What happens to the alveoli is basically permanent.  If all of the alveoli are useless, than the entire lung is useless.  Also, she is not getting as much oxygen in her blood as she should be, so she might be unusually tired all the time.  \n\nWhile it is a serious case, I do believe that your friend will be alright.  If she requires a transplant for replacement alveoli, she can get some from a donor.  If that is not successful, a lung transplant may be in order.  If all goes wrong, she can still be given an automatic respirator.  \n\nI hope I have cleared up any questions you might have about your friend's condition.  I will keep her in my thoughts and prayers.
519064
TELL HER TO TAKE SOME BEENO.  IF YOU TAKE BEENO THERE WILL BE NO GAS.  AND THEN YOU CAN GET IT ON.
921504
Wish I could help. But am not sure on how much longer she can live. Sounds pretty bad though. Pneaumonia with emphysema is very dangerous. Each ALONE is dangerous. I wish I could help you. Hope for her to get to doing better soon.
131253
Cause cells need oxygen.
173837
Take Gas-x That should help. Otherwise, try to change your diet to make you less gassy. good luck.
28516
Breath them in one at a time for 5 min each.  If you die it was CO2 if you're alive it's O2.\n\nor fill 2 jars with the different gasses. stick a lit candle in them. if the candle goes right out its CO2 if it stays lit its O2.
546490
you should have an oxygen dealer in your town\njust call the local health department or the local healthcare center
753947
Try this:\n\nhttp://www.nursingcenter.com/library/search.asp?R1=V2&query=dyspnea&section=1&searchAll=1
1039404
Lack of oxygen in your system!
585057
The boards like to try to trick you into the wrong answer. For example if you have a patient that has been in the hospital for a while and their labs, PFT's, and blood gases have improved and are normal, what do you do? Your choices will include many things such as send the patient home, and refer to cardiopulmonary rehab. Always choose rehab!! They try to make you think that the patient is okay with the values that they give you but if rehab is a choice that's the one you want to pick!! Make sure to read the answer carefully! One word could change the answer. Also read all of the answers. There may be more than one correct answer, you need to pick the BEST correct answer. Many times they will put the best answer on bottom and people will get to "b" (it's multiple choice) and pick that one if it's correct and the one they wanted you to pick is "d". There is no formula for peak flow you just have to know your normals. Male 20-30 years old is about 10 L/sec. and female is about 7.5 L/sec.There is usually an insert in the peak flow meter package with a chart for this information. Peak flow decreases with age and obstructive disorders. Not sure what you want to know on the CO2. Are you asking how much the body produces? How much the body eliminates? How much is in the blood?
765201
Well, the air is so low you definitely need an oxygen tank to aid in breathing. As far as elimination....it DEPENDS??? ha ha.
990580
The main concern with too much oxygen in COPDers is a condition called CO2 narcosis.  Essentially, you stop breathing.  I don't use oxygen but I can tell you that I have seen patients die from it.  Turning up the oxygen in general is okay but the point is \n\nwhy did your oxygen requirements go up.\n\nIn other words, its not about "getting permission" but rather its about talking to your doctor and letting him evaluate you.  Is your COPD flaring up and you need more aggressive treatment or are you developing a pneumonia and you need antibiotics.
452542
well, i don't know  where to find a quiz, however i am a respiratory therapist and use these everyday\n\nhere are some ideas\nokay normal ph in your body is 7.35-7.45 <7.4 is acidic, and >7.4 is basic (alkalotic)\n\nthink of hco3 (bicarb) your buffer, it raises the ph\n\nthink of co2 acidic.. it lowers the ph\n\no2 levels are normal if they are >80 (remember copd pts will have 50's and that will be normal\n\nok... \nexample 7.30ph, 55 pco2, 80 po2, and 29 hco3\nthat is an acidic ph.. its acidic because the person isn't blowing off co2, the normal co2 is 35-45, its 55\n\nthe hco3 isn't raised up high enough to buffer the acidity.. so the blood gas is uncompensated, meaning the hco3 and co2 will usually compensate for one another.\n\nthis gas is an u ncompensated respiratory acidosis, with normal oxygenation\n\nnext gas 7.38ph, pco2 is 50, hco3 is 40, and po2 is 50\nthis is a normal ph, with elevated pco2, the ph is an acidic ph.. however in normal level, notice the hco3 is elevated.. it compensated for the raised co2\nalso notice the po2 this is normal for co2 retainers (copd patients). \n\nthis gas is a compensated respiratory acidosis with hypozemia (however normal for the copd patient)\n\nokay next gas\n7.50ph, with 35pco2, hco3 42 po2 is 70\nthis is an uncompensated metabolic alkalosis.. the  pco2 is normal.. not compensating..\n\nnext gas 7.20ph, 5 pco2, hco3 10\nthis is an partialy compensated metabolic acidosis.. meaning that the pco2 is trying to make up for the loss of bicarb.. this is a blood gas that you will find with a diabetic keto acidosis patient.\n\nnext gas 7.48ph, pco2 25 hco3 20\nthis is a gas that is uncpmpensatted respiratory alkalosis.. t his patient might have a respiratory ailment that is causing them to hyperventalate... blowing off too much co2\n\nthe hco3 will trend down to compensate\ni hope this helped
128459
Oxygen to carbon dioxide (breathing), food to energy, sleep to rejuvenation, or maybe that last one wasn't so good, try brain activity (thoughts) to actions (automatic brain commands that keep your heart and lungs functioning)
1052970
hmmm... do you know what medications she is using right now? is she on oxygen? \npeople with emphysema -- we are EXTRA careful that we don't OVER-oxygenate them. you see, emphysema is classifed as Chronice obstructive pulmonary disease -- apparently, people diagnosed with COPD, they can inhale the oxygen -- the oxygen is then converted to carbon dioxide, but they cannot exhale all those carbon dioxide out because of their condition. so all those CO2 are trapped in their lungs. we usually limit oxygen among COPD's to up to 2 liters per minute only -- that's the maximum. \n\ni had an experience before in a hospital wherein a patient was on 0.5 liters per minute of oxygen -- apparently, somebody stupid tampered with her oxygen and put it to 6 liters per minute... and this caused hallucinations -- she started talking like a child and started talking about babies -- really off. so im guessing that it could have been that your mother was feeling out of breath because of her condition and she thinks that she will breathe more effectively if she were to raise the flow from maximum of 2 to more (maybe even 12) and that could have caused it. \n\nif she is on oxygen, follow the doctor's advise and never tamper with the oxygen flowmeter -- consider O2 as medicine -- it has adverse effects if you overdose on it. i mean the air that we breathe right now is not even pure oxygen. it's only 21% oxygen, the rest are nitrogen and other gases. too much oxygen can kill (for a normal person or COPD patients)
942160
Is it in the trachea, or in the mouth?   It really depends where it is. More than likely they will have a feeding tube that goes to the stomach through the nose. obviously they will be on O2. Otherwise the CNA cares are the same as for a bedridden patient. turn every 2 hours, bed baths and such. Feeding the resident will be left up to the licensed nursing staff.