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COPD Exacerbation (INTERVENTIONS (ABG lab (Uncompensated respiratory…

- - - - High flow oxygen
      - Mechanical ventilation
      - High fowlers, per comfort
      - Alert Dr. Jones
        
        S: Patient experiencing uncompensated
        respiratory acidosis and cognititve changes
        B: Admitted today for COPD exacerbation.
        Has been needing frequent trach suctioning.
        A: AMS, O2 sat 89% and dropping, SOB, RR 22
        R: Would you like to start PEEP?
      - Patient condition worsened (o2 sat 85%) while waiting for Dr. Jones' reply.
        Call rapid response.
- - - - Increasing RR
        r/t hypercapnia
        
        Change in mental status,
        states "get that dog out of here"
- - - - Acid/base imbalance
        
        Uncompensated respiratory acidosis