et 29% 12:30 PM Sun Feb 6 < Oxygenation Concept Map Home Insert Draw Layout Review View 2 e Calibri Regular (BO 11 В І u

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et 29% 12:30 PM Sun Feb 6 < Oxygenation Concept Map Home Insert Draw Layout Review View 2 e Calibri Regular (BO 11 В І u aAv v Oxygenation Definition/Path- working together of cardiac and respiratory inhalation and exhalation Breathe in oxygen and exhale CO2 Assessments Priority nursing Interventions 1. Obtain Vitals - 02 Stats - Look at normal 1. Mucous Membrane - Can increase/decrease oxygen 2. Vitals - 02 Stats - is body getting enough 2. Position changes-taking pressure off chest oxygen? 3. Lungs sounds/Rise and chest fall 3. Put pt. on oxygen - to help pt. with breathing 4.Environment- What they have been exposed to 4. Give medications - help breathing 5. Medical History - genetic 5. Have pt. cough Priority Medications 1. Breathing treatment - Albuterol - Open airway Lab/Diagnostic tests 1. ABG - arterial blood gas -CO2 in blood 2. PFT - pulmonary function test - look at pulmonary function Nursing Diagnosis 3. EKG-heat load 4. X-ray - look at the lungs 1.ineffective gas exchange 2. ineffective breathing patterns 5. CBC - complete blood count-02 Goal/Outcome Statement 1. Patient will have 02 stats higher than 80% before discharge 2. Patient will turn cough deep breathe one hour prior to discharge n. Rd