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Nursing Care Plan-Anemia
Nursing Care Plan-Anemia
SCIENTIFIC BACKGROUND
excess or deficit in oxygenation and or CO2 elimination at the alveolar capillary membrane this may be an entity of its own, but it also may be an end result of other pathology with an interrelatedness between airway clearance and or breathing problem problems
DIAGNOSIS
Impaired gas exchange related to oxygen carrying capacity of blood
PLANNNING
STO> after 5-10 mins of nursing intervention the patient will be able to breath with in patient range through supplemental oxygenation and lessen complaints of dizziness LTO> after 3 days of continuous nursing intervention the patient will be able to demonstrate impaired ventilation and adequate oxygenation of tissues by ABG within clients normal limit and absence of symptoms of respiratory distress on both mother and the baby
INTERVENTION
Diagnostic: monitor vital signs especially respiratory rate and record review lab results on CBC, ABGs and chest x-ray
RATIONALE
EVALUATION
STO> Goal met, patient is able to breath within normal range with no complaints of dizziness
Serve as baseline data for alterations To assess respiratory deficiency To identify needs for assistance To alleviate difficulty of breathing Provide comfort for the patient To promote oxygenation to the patient To maintain airway
Demonstrate head of bed and position the client appropriately Educative: Encourage the adequate rest and limit activities to within clients tolerance Discuss importance of taking iron supplement and vitamin C
LTO> goal partially met. Patients condition demonstrates impaired ventilation and controlled within normal level, no signs of any complications noted