Mr. Petrov, 72 years old, presented to the ED with increased…
Mr. Petrov, 72 years old, presented to the ED with increased work of breathing as evidenced by intercostal retractions and the use of accessory muscles. Mr. Petrov has a history of COPD, Hypertension, and Chronic Kidney Failure. He receives dialysis 3 times per week at a local hemodialysis clinic. He has had a tracheostomy for the last 18 months and uses a passy muir valve to communicate. It has now been 24 hours since Mr. Petrov was admitted for respiratory failure and immediately placed on a ventilator for respiratory support. The nurse enters the room to perform an assessment and notices the following findings: ● T: 102.3F ● HR: 110 ● Green sputum was removed during trach suctioning. ● Increasing confusion 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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