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1) 30 year-old male, construction accident fell 20 feet to the ground. R/O Head injury, internal...

1) 30 year-old male, construction accident fell 20 feet to the ground. R/O Head injury, internal bleeding, possible fractures.
HR 120, RR 36, B/P 90/60, T 98.6
Chest assessment: Paradoxical breathing, R/O flail chest, B/S diminished R side, normal L. Tachypnea, dyspnea noted, O2 Sat 88% on 21%
What 02 device?
Diagnostic tests?

2) 20 year-old female s/p MVA possible chest trauma
•RR 44, HR 124, B/P 160/100, T 98.6
•O2 Sat on 21% 85%
•3 hours later RR 24, HR 80, B/P 123/82, chest x-ray normal, Doctor wants you to titrate 02 until 02 Sat = 95-100%

What 02 device?
Diagnostic tests?

3) 62 year-old female Hx of Chronic Bronchitis
•HR 130, RR 28 labored, B/P 145/100, T 102.5F
•B/S bilateral course rhonchi, moderate amount of sputum, thick yellow.
•Tachypnea, accessory muscle use, patient states “I’m having trouble catching my breath”
•O2 Sat on 2 LPM NC = 92%
•7.35/45/62/28/90%
•What now?
•Follow up assessments?
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