discussion
Sarah is a 69-year old female that presented to the emergency department with shortness of breath. Her past medical history includes heart failure and COPD. Her pulse oximetry on room air is 82%. You notify the provider, and he orders oxygen at 2 L via nasal cannula NC. Sarah’s chest x-ray reveals bilateral pneumonia. Her arterial blood gas result are below:
pH: 7.30
PaCO2: 58 mm Hg
PaO2: 78 mm Hg
HCO3: 26 mEq/L
Sarah is admitted to a general medical floor. You are the nurse assigned to Sarah.
- What potential problems can occur based on the above findings?
- How would you provide multidimensional care for Sarah?
- Describe the roles of other departments in Sarah’s treatment plan.