Patient admitted to Medical Unit at 0300 from Emergency Department

Subject:NursingPrice:2.84 Bought5

Share With

Patient admitted to Medical Unit at 0300 from Emergency Department. On oxygen therapy of 2 liter flow by nasal cannula with SpO2 of 89%. Intravenous fluids of D 5 ½ NS with 20 mEq KCl at 75 ml/hr infusing in right forearm. IV site clear without redness or edema. Labored and shallow respiratory effort with use of some accessory muscles. Bilateral breath sounds coarse. Tachypneic. Productive cough of thick yellow sputum. Sputum gram stain, culture and sensitivity pending. Chest x-ray results reveal generalized hyperinflation and right middle and lower lobe infiltrates. Tachycardic. Patient sleeping intermittently. 0500 lab tests drawn. ABG: ph 7.33, PaO2 70, PaCO2 47, HCO3 26, SpO2 92%. 0715 vital signs: T 102F, BP 168/94, P 112, RR 32, SpO2 85% in room air. Patient removed nasal cannula. What questions would you ask the outgoing nurses to obtain needed information that was not identified in the report?