Would you implement this order as it is written

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Reference no: EM133268697

Question - Male, 59 years old, is John. He is admitted via the Emergency Room due to an emphysema exacerbation. Patient is alert but a little drowsy. Physical characteristics include a pulse of 88, consistent blood pressure of 110/70, and a body temperature of 38.2°C. Throughout, breath sounds are barely audible. Reduced chest expansion, particularly in the bases. The patient occasionally coughs weakly and ineffectively. Patient has warm, dry skin and is in a semi-Fowlers position.

Lab results: 1L/min nasal cannula, PH = 7.47, PaC02 = 33, Pa02 = 55, HC03 = 24, Sa02 = 90%.

WBC = 9,800, Hgb = 13.8

Nasal cannula O2 to be increased to 3L/min. Apply IPPB with 2.5mg of albuterol in 2cc of 20% mucomyst every fourth hour.

Would you implement this order as it is written?

What would you recommend in its place?

Would you add or delete anything from this order?

Reference no: EM133268697

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