Risk for Impaired Gas Exchange related to the accumulation of blood in the lungs due to increased atrial filling Goal: risk for impaired gas does not occur Expected outcomes: Demonstrating adequate ventilation and oxygenation of the tissue, indicated by blood gas analysis / oximetry in the normal range and free of symptoms of respiratory distress. Participate in a treatment program within the ability / situation. Intervention and rationale: 1. Auscultation of breath sounds, note: crackles, mengii. 2. Instruct the patient to cough effectively, breathing deeply. 3. Maintain a semi-Fowler position, chock the hand with a pillow if possible 4. Collaboration in the provision of supplemental oxygen as indicated. 5. Collaboration for the examination of blood gas analysis. 6. Collaboration for the administration of diuretics. 7. Collaboration for the administration of bronchodilator drugs. Rational: 1. Stating pulmonary congestion / collecting secretions indicate the need ...