Mrs. Tanza, 72 years old, presented to the ED with increased…
Mrs. Tanza, 72 years old, presented to the ED with increased work of breathing as evidenced by intercostal retractions and the use of accessory muscles. Mrs. Tanza has a history of COPD, hypertension, and chronic heart failure. She has had a tracheostomy for the last 18 months. She uses a passy muir valve to communicate and has not required any supplemental home oxygen recently. Mrs. Tanza was admitted for respiratory distress and now requires respiratory support with the ventilator using her tracheostomy tube. 24 hours after admission, the patient developed a fever of 102.3F, green sputum was noted with suctioning, and she became confused. Answer the questions below based on the current presentation of the patient and appropriate nursing care. Priority Action to Take [priorityaction1] Condition Most Likely Experiencing [condition] Parameter to Monitor [parameter1] Priority Action to Take [priorityaction2] Parameter to Monitor [parameter2]
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