Nursing Care Plan for RESPIRATORY ALKALOSIS & ACIDOSIS

ASSESSMENT NURSING DIAGNOSIS PLAN INTERVENTION

Related to Evidenced by
*Monitor respiratory Impaired Gas Possibly evidenced by *Demonstrate improved ventilation *Encourage patient to breathe slowly and
rate, depth, and effort. Exchange related and adequate oxygenation of tissue deeply. Speak in a low, calm tone of voice.
Ascertain cause of to ventilation  Dyspnea, tachypnea as evidenced by ABGs within Provide safe environment.
hyperventilation if perfusion  Changes in patient’s acceptable limits and *Assess level of awareness or cognition and
possible. Differentiate mentation absence of symptoms of respiratory note neuromuscular status. Assess strength,
imbalance (e.g.,
hyperventilation caused  Hypocapnia, distress. tone, reflexes, and sensation.
altered oxygen
by anxiety, pain, or tachycardia *Verbalize understanding of *Demonstrate appropriate breathing
supply,
improper ventilator  Hypoxia causative factors and appropriate patterns, if appropriate, and assist with
settings. altered blood flow, interventions. respiratory aids or rebreathing mask/bag.
altered oxygen- *Participate in treatment regimen *Provide comfort measures; encourage use
carrying capacity of within level of ability/situation. of meditation and visualization. Use tepid
blood, alveolar- sponge bath/cool cloths.
capillary *Provide safety and seizure precautions.
membrane Place bed in low position, pad side rails and
changes) do frequent observation of the patient.
*Discuss cause of condition (if known) and
appropriate interventions and/or self-care
activities.
*Monitor and graph serial CBGs, and pulse
oximetry.
*Monitor serum potassium. Replace as
indicated.