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DUQ_AH- Respiratory Case Study & Questions
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Respiratory Case Study & Questions Adult Health & Illness Spring 2017 Dr. Kelly A patient was admitted with a diagnosis of respiratory failure 3 weeks ago. She required an artificial airway (tra... cheostomy) to help clear her secretions. The previous shift nurse reports that the patient had a very restless night with a drop in her O2 saturation level several times despite her O2 being set at 40% via trach collar. The previous shift nurse also reports that the patient experienced tachycardia and tachypnea during the night. 2 The nurse immediately checks on the patient and finds that she appears anxious and her vital signs are as follows: • Blood pressure: 128/84 mm Hg • Heart rate: 114 (sinus tachycardia) • Respiratory rate: 24 and labored • Temperature: 99.4º F (axillary) • O2 saturation: 91% on 40% O2 via trach collar Which of these findings are cause for concern? 4 The BP is within normal range and only slightly elevated. The temperature is only slightly elevated. Her heart rate is elevated; the nurse should check the patient’s medications to see if she is on a bronchodilator or other medication that could cause her heart rate to increase. The priority concern is the increased respiratory rate and the decreased oxygen saturation despite the 40% oxygen setting. Based on the patient’s vital signs, what is the appropriate nursing action [Show More]
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