Student Nurses Community

NURSING CARE PLAN Carbon Monoxide Poisoning

ASSESSMENT

SUBJECTIVE:
I feel dizzy
and off
balance as
verbalized by
the patient.
OBJECTIVE:
Shortness of
breath
Irritability
V/S taken as
follows:
T: 37.1 C
P: 95
R: 20
BP: 110/90

DIAGNOSIS

INFERENCE

PLANNING

INTERVENTION

Risk for injury

(suffocation)
may be
related to
contact with
chemical
pollutants or
poisonous
agents.

Carbon
monoxide
Poisoning is
rapidly
transported
across the
alveolar
membrane and
preferentially
binds to
hemoglobin in
place of oxygen
to form
carboxyhemogl
obin (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

After 1 hour
of nursing
intervention
s, the
patient
prevents a
lifethreatening
condition.

Independent:
Acquire
information
about nature
of emergency,
accident, or
disaster.
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.

RATIONALE

EVALUATIO
N

Indentifies
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

After 1 hour
of nursing
intervention
s, the
patient was
free of
preventable
complication
s.

Student Nurses Community

reduction in
oxygen
delivery, given
that 98% of the
oxygen
supplied to the
tissues comes
bound to
hemoglobin.

Evaluate
individuals
response to
event, mood,
coping
abilities, and
personal
vulnerability.
Ascertain
knowledge of
needs and
injury
prevention
and
motivation to
prevent
further injury.
Discuss selfmonitoring of
conditions
and emotions
that can
contribute to
occurrence of
injury.
Identify and
manage lifethreatening
situations
airway
problem,
bleeding, and
diminished
consciousness
.

situations in
many ways and
may exhibit a
wide range of
response.
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.

Student Nurses Community