Student Nurses Community

NURSING CARE PLAN Carbon Monoxide Poisoning ASSESSMENT SUBJECTIVE: Nahihilo ako at parang matutumba (I feel
dizzy and off balance) as

DIAGNOSIS Risk for injury (suffocation) may be related to contact with chemical pollutants or poisonous agents.

INFERENCE Carbon Monoxide poisoning is rapidly transported across the alveolar membrane and preferentially binds to hemoglobin in place of oxygen to form carboxyhemoglobin (COHb). Carbon Monoxide causes the oxyhemoglobin dissociation curve to shift to the left, thereby impairing oxygen unloading at the tissue level. This shift results in a substantial reduction in oxygen delivery, given that 98% of the oxygen supplied to the tissues comes bound to hemoglobin.

PLANNING After 1 hour of nursing interventions, the Patient prevents a life-threatening condition.

INTERVENTION INDEPENDENT Acquire information about nature of emergency, accident, or disaster.

RATIONALE Identifies basic resource needs and helps to prepare staff for appropriate level of response based on customary injuries. Assists in providing safe medical and nursing care in anticipation of emergency need. Information necessary for triaging for appropriate service. Provides for assessment and treatment of condition that might not be evident initially. People react to traumatic situations in many ways and may exhibit a wide range of response.

EVALUATION After 1 hour of nursing interventions, the Patient is free of preventable complications.

verbalized by the patient.

OBJECTIVE: Shortness of breath Irritability V/S taken as follows T: 37.1C P: 95 R: 20 BP: 110/ 90

Prepare area and equipment; check and restock supplies.

Determine primary needs and specific complaints of client. Obtain additional medical information including preexisting conditions such as allergies, and current medication. Evaluate individuals response to event, mood, coping abilities, and personal vulnerability.

Student Nurses Community

Ascertain knowledge of needs and injury prevention and motivation to prevent further injury. Discuss of selfmonitoring of conditions and emotions that can contribute to occurrence of injury. Indicator of need for information and assistance with making positive changes, promoting safety and sense of security. Recognizing these factors and dealing with them appropriately, including seeking support and assistance can reduce individual risk. Stabilization of medical condition is necessary before proceeding with additional therapies.

Identify and manage life-threatening situations airway problems, bleeding, and diminished consciousness.