Reference no: EM133541269

RESPIRATORY CARE PLAN

James White, a patient with an exacerbation of COPD, is on your medical-surgical unit. You need to obtain his vital signs and give him a bath. His vital signs at 8 AM were as follows: temperature, 98.4F; pulse, 86 beats/minute and regular; respirations, 18/minute; blood pressure, 130/68 mm Hg. The physical therapist who is working with this patient on conditioning therapy has just brought him back from his exercises. You notice that his breathing is labored, with audible expiratory wheezes. While you are obtaining his oral temperature and vital signs, you continue to hear audible expiratory wheezing. His vital signs now are as follows: temperature, 96.8F; pulse, 106 beats/minute and irregular; respirations, 26/minute; blood pressure, 140/74 mm Hg.

Medical orders:

Daily physical therapy for conditioning Vital signs q 4 hr. Oxygen at 2 L via nasal prongs prn for pulse oximetry less than 90%.

Oxygen saturation levels via pulse oximeter every shift and prn.