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NCP Near Drowning

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INHALATION INJURY – NEAR DROWNING

Patient’s Data: PE Findings:

-cold and bluish skin

Impaired Gas
Exchange related to

Patient will maintain relaxed Client will maintain optimal gas


breathing, responsive
mentation or no further decline exchange, as evidenced by
in the level of consciousness arterial blood gases (ABGs)
within client’s usual range,
oxygen saturation.of 90% or
higher
Note patient’s
respiratory rate,
depth, and rhythm.

Maintain the patient’s Monitor for signs of Anticipate the


airway and assist with Provide oxygenation Monitor oxygen Provide suctioning
respiratory difficulties such need for
ventilation as needed as ordered. saturation and as per client’s
as nasal flaring, stridor, intubation and
while protecting the ABGs as ordered. need only.
retractions, and the use of mechanical
cervical spine. accessory muscles. ventilation.

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