Shortness of breath nursing diagnosis

The following are common signs and symptoms of an ineffective breathing pattern. They are categorized into subjective and objective data based on patient reports …

Shortness of breath nursing diagnosis. Among adults without reported COPD, the 3 respiratory symptoms indicating COPD (chronic cough, phlegm or mucus production, shortness of breath) were …

Study with Quizlet and memorize flashcards containing terms like Which is an accurately phrased risk diagnosis? a) Risk for Impaired Coping as evidenced by client crying. b) Risk for Falls related to altered mobility. c) Risk for Pain After Surgery. d) Risk for Fluid Volume Excess related to increased oral intake as evidenced by consuming 3 L of soda., A nurse is caring for a client diagnosed ...

Nursing Diagnosis. Following a thorough assessment, ... This anxiety can manifest as intense physical symptoms such as racing heart, shortness of breath, and trembling, as well as intrusive thoughts, avoidance behaviors, and difficulties with daily functioning. The anxiety experienced is often disproportionate to the actual threat or …An Activity Intolerance nursing diagnosis that can be used when a person has difficulty completing activities due to fatigue, pain, or breathlessness. Activity intolerance may also occur when an individual has difficulty mobilizing due to weakness or stiffness. Nursing interventions for activity intolerance include providing rest periods ...It can be caused by problems with the lungs or with the heart, or by a low blood count, but its specific cause can sometimes take a while to pinpoint. Luckily, most … Dyspnea often called shortness of breath (SOB), is used to describe difficult or labored breathing often with an increased respiratory rate. Shortness of breath is not a disease but a symptom. Dyspnea can be acute or chronic depending on the causative factor. Related factors include: Shortness of breath (SOB) is the feeling of running out ... Ineffective Airway Clearance Nursing Interventions. Administer supplemental oxygen and bronchodilators as prescribed. Encourage deep breathing and coughing exercises. Position the client upright to promote lung expansion. Assist the client with positioning to promote effective breathing. Monitor the client’s oxygen saturation levels and lung ...The following are common signs and symptoms of an ineffective breathing pattern. They are categorized into subjective and objective data based on patient reports …Apr 30, 2024 · Dyspnea or ineffective breathing pattern is a state of abnormal breathing rate, depth, rhythm, or pattern. It can be caused by various factors such as heart failure, hypoxia, airway obstruction, infection, anxiety, or pain. The nursing care plan and management guide for clients experiencing dyspnea involves assessing the underlying cause, promoting gas exchange, relieving anxiety and distress, and providing education.

Related to: As evidenced by: pain, increased lung compliance, decreased lung expansion, obstruction, decreased elasticity/recoil: dyspnea, tachypnea, use of accessory muscles, cough with or without productivity, adventitious breath sounds, prolongation of expiratory time, increased mucous production, abnormal arterial blood gasesApr 30, 2024 · 8 Lung Cancer Nursing Care Plans. Updated on April 30, 2024. By Matt Vera BSN, R.N. Utilize this comprehensive nursing care plan and management guide to deliver effective care for patients with lung cancer. Gain valuable insights on nursing assessment, interventions, goals, and nursing diagnoses specifically tailored for lung cancer in this guide. 2. Medical Diagnosis Cough; Shortness of breath; Wheeze. 4. Pathophysiology. Asthma is a common chronic disorder of the airways that involves a complex interaction of airlow obstruction, bronchial hyperresponsiveness and an underlying inlammation Secondary Medical DiagnosisImpairment of Gas Exchange Nursing Care Plan Assessments Subjective assessments. The patient reports shortness of breath, fatigue, confusion, and/or anxiety. Patient history reveals any underlying conditions that may be contributing to the impaired gas exchange; Objective assessments. Vital sign measurements (oxygen saturation …Dyspnea Nursing Diagnosis: Activity intolerance related to imbalance between oxygen supply and demand as evidenced by fatigue, overwhelming lack of energy, verbalization of tiredness, generalized weakness, and shortness of breath upon exertion.About this Symptom Checker. When to seek medical advice. Shortness of breath that can't be explained by rigorous exertion or exercise requires a prompt, accurate diagnosis. …

Mosby’s dictionary of Medicine, nursing & Health Professions Meg Gulanick/ Judith L. Myers; Nursing Care Plans Diagnoses, Interventions, and Outcomes/Edition 8 Betty J. Ackley, Gail B. Ladwig; Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care / Edition 9 Linton; Introduction to Medical-Surgical Nursing/ Edition 6 Sufficient oxygenation is vital to maintain life. When prioritizing nursing interventions, we often refer to using the “ABCs,” an acronym used to signify the importance of maintaining a patient’s airway, breathing, and circulation. Several body systems work collaboratively during the oxygenation process to take in oxygen from the air, carry it through the bloodstream, and adequately ... #1 Sample Nursing Care Plan for Iron Deficiency Anemia – Risk for Bleeding Nursing Assessment. Subjective Data: The patient reports fatigue, weakness, and shortness of breath; Objective Data: Hemoglobin 8.4 g/dL, hematocrit 26.24 L/L, and RBC 3.32 x10^6/mcL; Iron 9 umol/L and ferritin 8.3 ug/L; Platelets 130 K/mcL; Nursing …The nurse is providing care to a patient with electrolyte imbalance showing edema and shortness of breath. Which nursing diagnosis should the nurse include in the updated patient plan of care? Fluid volume excess related to electrolyte imbalances, as evidenced by edema and shortness of breath

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Aug 10, 2020 · Breathlessness (dyspnoea) can be an extremely distressing sensation, often characterised by rapid and difficult breathing. It is associated with a range of other acute and long-term conditions, and is a key symptom of Covid-19, the disease caused by the novel coronavirus identified in 2019 (SARS-CoV-2) that has resulted in a global pandemic. Signs and Symptoms of Ineffective Airway Clearance. Abnormal breath sounds (e.g., crackles, wheezes, rhonchi) Abnormal respiration (rate, rhythm, and depth) Dyspnea or difficulty breathing. Excessive secretions. Hypoxia / cyanosis. Ineffective or absent cough. Orthopnea.US president Donald Trump's Covid-19 diagnosis creates uncertainty for financial markets Stock markets from Tokyo to Sydney fell after US president Donald Trump and his wife Melani...Coughing. It can be acute (sudden dyspnea) or chronic (long-lasting dyspnea). Acute dyspnea starts within a few minutes or hours. It can happen with other symptoms like a fever, rash, or cough ...Dyspnea or ineffective breathing pattern is a state of abnormal breathing rate, depth, rhythm, or pattern. It can be caused by various factors such as heart failure, hypoxia, airway obstruction, infection, anxiety, or pain. The nursing care plan and management guide for clients experiencing dyspnea involves assessing the underlying cause, promoting gas exchange, relieving anxiety and distress, and providing education.Your healthcare provider may order pulmonary function tests if you have lung or airway symptoms like cough or shortness of breath, are undergoing surgery or use tobacco products (smoke). These symptoms may include: Chest tightness, pain or pressure. Coughing, especially if you produce mucus or phlegm. Difficulty breathing or taking a …

COPD Nursing Diagnosis. COPD, or chronic obstructive pulmonary disease, is a debilitating respiratory condition that affects millions of people worldwide. Those diagnosed with COPD may experience various symptoms, including shortness of breath, chronic coughing, and frequent chest infections. As a nurse, it is crucial to …Introduction. Shortness of breath is a very common cause of Emergency Department visits. In the United States, pneumonia, COPD exacerbation, heart failure exacerbation and dysrhythmias round out the top five reasons for hospital admission in patients 45 and older, after chest pain. All of those conditions, and many others, can cause shortness ...Nursing Diagnosis: Decreased Cardiac Output related to alterations in rate, rhythm, and electrical conduction secondary to fluid overload as evidenced by increased heart rate, changes in blood pressure, decreased urine output, extra heart sounds, edema, and shortness of breath. Desired Outcome:6 Pulmonary Tuberculosis Nursing Care Plans. Use this nursing care plan and management guide to help care for patients with pulmonary tuberculosis. Enhance your understanding of nursing assessment, interventions, goals, and nursing diagnosis, all specifically tailored to address the unique needs of individuals facing pulmonary …Dyspnea is a symptom of difficult or labored breathing that can be acute or chronic. It can be caused by various factors, such as obstruction in the airway, fluid buildup in the lungs, or anxiety. The web page provides nursing diagnosis and care plan for dyspnea based on the nursing process and related factors. See more Heart failure. B. (Acute pain is the only NANDA-I approved diagnosis listed. Sleep apnea and heart failure are medical diagnoses, and sore throat is subjective data.) A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. An Activity Intolerance nursing diagnosis that can be used when a person has difficulty completing activities due to fatigue, pain, or breathlessness. Activity intolerance may also occur when an individual has difficulty mobilizing due to weakness or stiffness. Nursing interventions for activity intolerance include providing rest periods ...ANS: A. 20. A nurse is developing nursing diagnoses for a patient. Beginning with the first step, place in order the steps the nurse will use. 1. Observes the patient having dyspnea (shortness of breath) and a diagnosis of asthma. 2. Writes a diagnostic label of impaired gas exchange. 3.The evaluation of the respiratory system includes collecting subjective and objective data through a detailed interview and physical examination of the thorax and lungs. This examination can offer significant clues related to issues associated with the body’s ability to obtain adequate oxygen to perform daily functions. Inadequacy in respiratory function …Shortness of breath is a nonspecific symptom with many possible causes and degrees of severity, making the evaluation of these patients ... It is important to consider the critical diagnoses in your evaluation and look for patterns in the history and physical exam. Additional tests can be helpful in establishing a diagnosis orThrough these nursing diagnoses, an effective nursing care plan can be formulated to provide optimal and individualized nursing care. However, here are some examples to consider: Activity Intolerance related to chronic respiratory conditions (e.g., COPD) as evidenced by shortness of breath during minimal physical exertion, use of accessory ...

Study with Quizlet and memorize flashcards containing terms like Which is an accurately phrased risk diagnosis? a) Risk for Impaired Coping as evidenced by client crying. b) Risk for Falls related to altered mobility. c) Risk for Pain After Surgery. d) Risk for Fluid Volume Excess related to increased oral intake as evidenced by consuming 3 L of soda., A nurse is caring for a client diagnosed ...

Jul 25, 2022 ... How do you pick the best nursing diagnosis?! https://youtu.be/60E7ESDiGco Free Nursing Care Plans ...Dyspnea (pronounced “DISP-nee-uh”) is the word healthcare providers use for feeling short of breath. You might describe it as not being able to get enough air (“air hunger”), chest tightness or working harder to breathe. Shortness of breath is often a symptom of heart and lung problems. But it can also be a sign of other conditions like ...Symptoms of narcolepsy can be managed, but a correct diagnosis is often the first step to finding the right treatment. If excessive sleepiness and disrupted sleep-wake cycles are a...Hearing the doctor tell you that you’ve got cancer is undoubtedly one of the worst things you may experience. If your diagnosis is thyroid cancer, you may be able to breathe a bit ... Ineffective Airway Clearance Explanation: Because wheezing, shortness of breath, and coughing are signs of a constricted airway, the nursing diagnosis of Ineffective Airway Clearance is the appropriate diagnosis. Bronchial pneumonia and Asthma Attack are both medical diagnoses. Study with Quizlet and memorize flashcards containing terms like A client is being admitted from the emergency room reporting shortness of breath, wheezing, and coughing. What would the nurse formulate as an appropriate nursing diagnosis?, When writing an actual nursing diagnosis, the nurse includes the etiology that contributes to the current situation. This would be identified as:, A client ... 3. Apply compression stockings. Compression stockings can prevent fluid build-up in the legs and ankles and improve circulation. 4. Educate on positioning. Pregnancy, long periods of standing or sitting such as when flying can result in lower leg edema. Remind patients to elevate lower legs periodically.

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A nurse is developing nursing diagnoses for a patient. Beginning with the first step, place in order the steps the nurse will use.1. Observes the patient having dyspnea (shortness of breath) and a diagnosis of asthma.2. Writes a diagnostic label of impaired gas exchange.3. Organizes data into meaningful clusters.4. Interprets information from ... Results. among the 120 patients, 67.5% presented Ineffective Breathing Pattern. In the univariate analysis, the related factors were: group of diseases, fatigue, obesity and presence of bronchial secretion, and the defining characteristics were: changes in respiratory depth, auscultation with adventitious sounds, dyspnea, reduced vesicular …MLA Citation "Appendix N3: Nursing Diagnoses Grouped by Diseases/Disorders." ... possibly evidenced by shortness of breath, fremitus, respiratory depth changes, and reduced vital capacity. + + impaired Swallowing may be related to muscle wasting and fatigue, possibly evidenced by recurrent coughing or choking, and signs of aspiration. + + ... Ineffective Airway Clearance Explanation: Because wheezing, shortness of breath, and coughing are signs of a constricted airway, the nursing diagnosis of Ineffective Airway Clearance is the appropriate diagnosis. Bronchial pneumonia and Asthma Attack are both medical diagnoses. 1. Auscultate breath sounds and vital signs. Monitor blood pressure, heart rate, and sp02 closely. Auscultate lungs to assess for adventitious sounds such as rhonchi which could signal retained secretions. 2. Note the type of breathing pattern. Observe the rate, depth, and irregularity of the breathing pattern.Nursing Diagnosis: Ineffective Breathing Pattern related to hypoxia as evidence by shortness of breath with activity, use of accessory muscles, O2 saturation of 85%, and …Dyspnea, or breathing discomfort, is a common symptom that afflicts millions of patients with pulmonary disease and may be the primary manifestation of lung disease, myocardial ischemia or dysfunction, anemia, neuromuscular disorders, obesity, or deconditioning. Examination of the language of dyspnea suggests that this symptom …Apr 30, 2024 · The following are the nursing priorities for patients with congestive heart failure: Improve myocardial contractility and perfusion. Enhance heart’s pumping function to ensure adequate blood flow to organs through medications, monitoring vital signs, and optimizing fluid balance. Manage fluid volume. NANDA Nursing Diagnosis Definition. Ineffective breathing pattern, according to NANDA (North American Nursing Diagnosis Association), is defined as a decreased oxygenation level and airway obstruction due to complications from certain medical conditions, such as chronic obstructive pulmonary disease (COPD), asthma, bronchitis, congestive heart ...Shortness of breath (dyspnoea) is a common emergency presentation and is a symptom of many different medical conditions, both acute and chronic. Most cases of acute shortness of breath are due to lung and breathing disorders, cardiovascular disease, or chest trauma. It is a condition which some patients may experience many … ….

When symptoms are present, they often develop suddenly. 1 The most common symptoms associated with a pneumothorax are shortness of breath and chest pain. 1,4 Patients will often describe the chest pain as severe, sharp, and stabbing. 1 They may also report chest pain that radiates to the shoulder and arm. 1 If the patient has an open wound, the ...Dyspnea: Nursing Diagnoses, Care Plans, Assessment & Interventions Dyspnea, often called shortness of breath (SOB), describes difficult or labored breathing, often with an increased respiratory rate. Shortness of breath is the feeling of running out of breath and not being able to breathe in and out deeply or quickly enough.Chronic dyspnea is shortness of breath that lasts more than one month. The perception of dyspnea varies based on behavioral and physiologic responses. Dyspnea that is greater than expected with ...Background Dyspnea (breathing discomfort) is a common and distressing symptom. Routine assessment and documentation can improve management and relieve suffering. A major barrier to routine dyspnea documentation is the concern that it will have a deleterious effect on nursing workflow and that it will not be readily accepted by nurses. Nurses at our institution recently began to assess and ...What is defined as shortness of breath? Shortness of breath — known medically as dyspnea — is often described as an intense tightening in the chest, air hunger, difficulty breathing, breathlessness or a feeling of suffocation. Very strenuous exercise, extreme temperatures, obesity and higher altitude all can cause shortness of breath in …Shortness of breath that can't be explained by rigorous exertion or exercise requires a prompt, accurate diagnosis. Get emergency medical care if you experience shortness of breath that: Began suddenly and affects your ability to function. Is accompanied by chest pain that lasts more than a few minutes. Is accompanied by dizziness, fainting ...Dyspnea Nursing Diagnosis: Activity intolerance related to imbalance between oxygen supply and demand as evidenced by fatigue, overwhelming lack of … Subjectives. This condition of impaired spontaneous ventilation can present with many different subject symptoms. These typically include a feeling of shortness of breath, dizziness, fatigue, confusion and anxiety. Other related physical symptoms may consist of chest pain, labored breathing, tachypnea (rapid breathing) and cyanosis (blue ... Some therapists feel its best to withhold psychological diagnoses to protect patients from potential damages of the label. Not disclosing has its own hazards. A supervisee recently...Chronic Shortness of Breath. Shortness of breath is defined as difficult, laboured breathing. Medical teaching, unlike nursing teaching, tends to focus on individual pathologies. however, in practice there is often some overlap between several contributory causes and sometimes the diagnosis can only be made after ongoing referral to a doctor and the subsequent therapeutic trials of treatment. Shortness of breath nursing diagnosis, Nursing Diagnosis. Decreased cardiac output related to blood flow obstruction as evidenced by fatigue, shortness of breath, and right heart strain. Goal/Desired Outcome. Short-term goal: The patient remains hemodynamically stable overnight with a reduction in chest pain and shortness of breath by the end of the shift., Shortness of breath, also known as dyspnea, is defined as a subjective feeling of difficulty breathing or breathlessness. undefined#ref6">6 Shortness of breath may be caused by many different conditions, such as acute respiratory failure (ARF), chronic obstructive pulmonary disease (COPD), acute respiratory distress syndrome (ARDS), pulmonary …, Dyspnea, also known as shortness of breath, is a patient's perceived difficulty to breathe. Sensations and intensity can vary and are subjective. It is a prevalent symptom impacting millions of people. It may be the primary manifestation of respiratory, cardiac, neuromuscular, psychogenic, or systemic illnesses, or a combination of these. …, Ineffective Airway Clearance Explanation: Because wheezing, shortness of breath, and coughing are signs of a constricted airway, the nursing diagnosis of Ineffective Airway Clearance is the appropriate diagnosis. Bronchial pneumonia and Asthma Attack are both medical diagnoses. , The American Thoracic Society defines dyspnea as a subjective experience of breathing discomfort that comprises qualitative distinct sensations that vary in intensity. 1 If symptoms persist for ..., Wondering what you'll pay for in nursing home costs? It depends on your location and the facility. Here's a breakdown of the average pricing information. Calculators Helpful Guides..., Use a current, evidence-based nursing care plan resource when creating a care plan for a patient. Table 8.3b NANDA-I Nursing Diagnoses Related to Decreased Oxygenation and Dyspnea. Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane., Dyspnea often called shortness of breath (SOB), is used to describe difficult or labored breathing often with an increased respiratory rate. Shortness of breath is not a disease but a symptom. Dyspnea can be acute or chronic depending on the causative factor. Related factors include: Shortness of breath (SOB) is the feeling of running out ... , Shortness of breath; Objective Data: The objective data for anxiety is observable and measurable data, or signs, obtained through observation, physical examination, and laboratory or diagnostic testing. ... The nursing diagnosis will be your clinical judgment about the patient’s health conditions or needs., Which electrolyte imbalance should the nurse use as the "as evidenced by" portion for this nursing diagnostic statement?, 3. The nurse is providing care to a patient with electrolyte imbalance showing edema and shortness of breath. Which nursing diagnosis should the nurse include in the updated patient plan of care? and more. , An Activity Intolerance nursing diagnosis that can be used when a person has difficulty completing activities due to fatigue, pain, or breathlessness. Activity intolerance may also occur when an individual has difficulty mobilizing due to weakness or stiffness. Nursing interventions for activity intolerance include providing rest periods ..., The American Thoracic Society defines dyspnea as a subjective experience of breathing discomfort that comprises qualitative distinct sensations that vary in intensity. 1 If symptoms persist for ..., NCBI. Retrieved February 7, 2023. Nurses play a critical role in assessing, monitoring, and caring for patients who are experiencing a heart attack. This comprehensive care plan guide focuses on the essential nursing assessment, interventions, nursing care plans and nursing diagnoses for effectively managing patients with myocardial infarction., Match the nursing diagnosis to the supporting statement to create a complete and accurate nursing diagnosis statement. 1. Altered delivery of inhaled oxygen. 2. Increased production of mucus and bronchospasm . 3. Shortness of breath and concern for well-being . 1. Impaired gas exchange., Use a current, evidence-based nursing care plan resource when creating a care plan for a patient. Table 8.3b NANDA-I Nursing Diagnoses Related to Decreased Oxygenation and Dyspnea. Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane. , Study with Quizlet and memorize flashcards containing terms like Which is an accurately phrased risk diagnosis? a) Risk for Impaired Coping as evidenced by client crying. b) Risk for Falls related to altered mobility. c) Risk for Pain After Surgery. d) Risk for Fluid Volume Excess related to increased oral intake as evidenced by consuming 3 L of soda., A nurse is caring for a client diagnosed ... , #1 Sample nursing care plan for CHF – Impaired gas exchange Nursing Assessment. Subjective Data: Reported increased shortness of breath; Using 3 pillows to sleep at night (increase from usual 1 pillow) Decreased activity level due to shortness of breath; Objective Data: Tachypneic, respiratory rate of 30 breaths/minute; Crackles in …, Coughing. It can be acute (sudden dyspnea) or chronic (long-lasting dyspnea). Acute dyspnea starts within a few minutes or hours. It can happen with other symptoms like a fever, rash, or cough ..., Nursing Diagnosis: Ineffective Breathing Pattern related to inadequate pulmonary ventilation, secondary to asthma, as evidenced by shortness of breath, coughing, cyanosis, nasal flaring, changes in the depth of breathing, excessive use of accessory muscles, presence of respiratory noise, and tachypnea., Fluid volume excess related to electrolyte imbalances, as evidenced by edema and shortness of breath This nursing diagnostic statement is accurate because the electrolyte imbalance is causing the nursing diagnosis of Fluid volume excess, which is manifested by edema and shortness of breath., Shortness of breath; orthopnea/dyspnea; Tachycardia; Third heart sound (S 3) Nursing Diagnosis. Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with fluid volume excess based on the nurse’s clinical judgement and understanding of the patient’s unique health condition ..., Study with Quizlet and memorize flashcards containing terms like Which is an accurately phrased risk diagnosis? a) Risk for Impaired Coping as evidenced by client crying. b) Risk for Falls related to altered mobility. c) Risk for Pain After Surgery. d) Risk for Fluid Volume Excess related to increased oral intake as evidenced by consuming 3 L of soda., A nurse is caring for a client diagnosed ... , What nursing diagnosis would be most appropriate for the nurse to identify?, A client admitted for a surgical procedure tells the nurse, "I am very worried because I am allergic to latex. ... A client has been admitted with symptoms of shortness of breath on exertion, edematous lower extremities, extreme fatigue and high blood pressure. Which ..., A nurse is developing a plan of care for a client with heart failure brought to the emergency department. The client was experiencing shortness of breath and pitting edema of the lower extremities. Which statement would the nurse identify as a the problem to be addressed in the client's nursing diagnosis?, Chronic Obstructive Pulmonary Disease (COPD) is a common, preventable, and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities, usually caused by significant exposure to noxious particles or gases. As with previous editions, the 2018 Global ..., A client is being admitted from the emergency room reporting shortness of breath, wheezing, and coughing. What would the nurse formulate as an appropriate nursing diagnosis? A. Asthma Attack B. Acute Dyspnea C. Bronchial Pneumonia D. Ineffective Airway Clearance, Nursing Diagnosis: Impaired Gas Exchange related to pulmonary edema as evidenced by shortness of breath, SpO2 level of 85%, productive cough, and frothy phlegm Desired Outcome: The patient will maintain optimal gas exchange as evidenced by respiratory rates between 12 to 20 breaths per minutes, oxygen saturation above 96% …, NANDA Nursing Diagnosis Definition. Ineffective breathing pattern, according to NANDA (North American Nursing Diagnosis Association), is defined as a decreased oxygenation level and airway obstruction due to complications from certain medical conditions, such as chronic obstructive pulmonary disease (COPD), asthma, bronchitis, congestive heart ... , NANDA-I Nursing Diagnoses Definition Selected Defining Characteristics; Impaired Gas Exchange: Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane. ... Adventitious breath sounds. Abnormal skin color. Tachycardia. Restlessness. Fatigue. Edema. Weight gain. Decreased peripheral pulses., Nursing Diagnosis: Acute Pain related to decreased myocardial blood flow as evidenced by pain score of 10 out of 10, verbalization of pressure-like/ squeezing chest pain (angina), guarding sign on the chest, ... generalized weakness, and shortness of breath upon exertion., Therapeutic interventions and nursing actions for patients with anaphylactic shock may include: 1. Promoting Effecting Breathing Patterns. Ineffective breathing pattern can occur in patients with anaphylactic shock due to bronchospasm, bronchoconstriction, laryngeal edema, and facial angioedema., Diagnosis. Treatment. Shortness of breath is a common symptom that may come on rapidly or gradually. If you are experiencing shortness of breath, that does not …, Impaired gas exchange is a common nursing diagnosis that refers to a patient’s inability to effectively exchange oxygen and carbon dioxide in the lungs. This condition can be caused by a variety of factors, including chronic obstructive pulmonary disease (COPD), pneumonia, asthma, and other respiratory illnesses.