Duke Lukela, 42yom, admitted for flare of silcosis. Patient
alert and oriented.
HR 96, BP 130/90, RR 26 shallow. BS decreased. NPC.
ABG-ph 7.42 PaCO2 30 O2 58 HCO3 19 Sat 82 on NC at 2lpm
Hgb 16.4 WBC 10,600
Orders: increase oxygen to 5 lpm and give Atrovent 2 puffs Q 6 hours
Would you implement the order as it is written? What would you recommend in its place? Would you add or delete anything from this order? Why or why not?
Ans) Oxygen is given at a certain speed or rate which is measured in liters per minute. A 2 liter per minute rate is quite common in adults, although when there is severe shortness of breath, the rate is increased to 3, 4 or 5 liters/minute in some cases.
- Monitor O2 level - SPO2 even of O2 & slowly taper it.
- Ipratropium bromide, sold under the trade name Atrovent among others, is a medication which opens up the medium and large airways in the lungs. It is used to treat the symptoms of chronic obstructive pulmonary disease and asthma. It is used by inhaler or nebulizer.
Duke Lukela, 42yom, admitted for flare of silcosis. Patient alert and oriented. HR 96, BP 130/90,...
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