S- Mrs. O’Connor, is a pleasant, 55-year-old

S- Mrs. O’Connor, is a pleasant, 55-year-old woman who is at Shadow General Hospital, Room 202, bed 1, presenting with a change in her respiratory status, increasing difficulty breathing and decrease in her oxygen saturation. B- Pt. has a history of COPD and was admitted yesterday with an exacerbation. Yesterday, she was on O2 2L and had a drop in O2 saturation, increased to venturi mask at 28% O2 concentration, but regardless, her O2 saturation stands at 78%. She is having difficulty breathing, and her cough and production of green sputum continues. A- Pt. O2 saturation is at only 78%. B/P: 118/74, HR: 110, and her respiratory rate is 34 breaths per minute. Her COPD exacerbation is worsening, and she is not responding to the increase in oxygen via the venturi mask. Her SOB is increasing, and I am afraid she is getting too tired breathing and her respiratory muscles are starting to fatigue. These factors together indicate that the patient’s condition is deteriorating and becoming severe. R- what recommendation can i put? SCIENCE HEALTH SCIENCE NURSING ASSOCIATE OF SCIENCE MISC

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