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This Concept Map, created with IHMC CmapTools, has information related to: Zwerner in progress, Key Problem: Impaired Respiratory Status (FAILURE) ND: Impaired Gas Exchange related to Respiratory Failure as evidenced by decreased respirations and SPo2% ( ៉%) and altered Arterial Blood Gasses Data: Patient became unconscious after suffering a respiratory arrest. WBC: 22.8 ABG: PCO@ 48, HCO3 44, pH 7.53 Confusion Restlessness Dyspena Hypoxia Febrile Tachycardia Hypotension CAUSES Leads to, Leads to ????, Leads to Key Problem: Decreased Breathing Status (Failure) Nursing Diagnosis: Ineffective breathiing pattern related to inspiration and expiration that doesn't provide adequate ventilation as evidenced by inability to maintain normal respiratory rate, depth, and rhythm. Data: Patient became unconscious related to respiratory failure, altered arterial blood gas, decreased SPo2, dyspnea, lethargic, and confused. Treatments: Mechanical Ventilation *Ausculatation of breath sounds for adventious sounds *Continuous SPo2 monitoring *Provide accurate ventilary support and monitor *Reposition patient to maximize ventilation Maintain adequate oxygenation Medications:, Key Problem: Impaired Respiratory Status (FAILURE) ND: Impaired Gas Exchange related to Respiratory Failure as evidenced by decreased respirations and SPo2% ( ៉%) and altered Arterial Blood Gasses Data: Patient became unconscious after suffering a respiratory arrest. WBC: 22.8 ABG: PCO@ 48, HCO3 44, pH 7.53 Confusion Restlessness Dyspena Hypoxia Febrile Tachycardia Hypotension CAUSES Key Problem Exacerbation of COPD Nursing Diagnosis: Ineffective airway clearance related to decreased Level of consciousness, increased secretions, presence of artificial airway as evidenced by inability to cough, SPO2 ៉% on room air, and under sedation. Data: Decreased respiratory rate and SPO2, Decreased Level of consciousness, hypoxia, dyspnea, confusion. Treatments: Ventilation *Perform suctioning every hour to remove secretions *Administer humidified oxygen to prevent drying of mucous membraned *Reposition patient to maximize ventilation *Regulate fluid volume intake Medications: Versed, Fentanyl, Nimbex (sedatives + muscle relaxants) Fluids (Normal Saline), Oxygen