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Impaired Gas Exchange - Heart Failure

Impaired Gas Exchange - Heart Failure
Impaired Gas Exchange related to pulmonary congestion secondary change in alveolar capillary membrane and fluid retention interstisiil.

Goal:
Maintain adequate ventilation and oxygenation in

Action :
  • Assess the respiratory work (frequency, rhythm, sound and depth)
  • Provide additional Oxygenation 6 liters / minute
  • Monitor saturation (oximetry) PH, BE, HCO3
  • Correction of acid-base balance
  • Give a position that allows clients improve lung expansion. (Semi-Fowler)
  • Prevent atelectasis by exercising effective coughing and deep breathing
  • Perform fluid balance
  • Limit fluid intake
  • Eavluasi radiographic pulmonary congestion through

Rational :
  • To determine the effectiveness of gas exchange function.
  • To increase the concentration of oxygen in the gas exchange process.
  • To determine the level of oxygenation in tissues as a result of the adequacy of gas exchange process.
  • Prevent acidosis which can aggravate respiratory function.
  • Enhance lung expansion
  • Heavy congestion will worsen perukaran process gas so the impact on the onset of hypoxia.
  • Increases contractility of heart muscle that can decimate Odem thus prevents the onset of gas exchange impairment.
Impaired Gas Exchange - Heart Failure

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Impaired Gas Exchange - Heart Failure

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