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0545 69-year-old male 3 days post cardiac arrest with successful resuscitation on scene; history of chronic obstructive pulmonary disease, 32 pack-year smoking history, and diabetes mellitus type 2 (DM2); extubated at 0430 and placed on bilevel positive airway pressure (BiPAP) 10/5, rate 12/min, and FiO2 40%; lungs clear, diminished right middle and lower lobes; T 98.1 °F (36.7 °C) , HR 114 regular, RR 22, BP 138/66, PaO2 92%; skin pale, warm, and dry face, chest, and arms; talking without difficulty; ice chips provided to soothe sore throat; call light in reach. —A. Sheedy, RN 01/01/20XX 0745 Entered room to assess client in response to monitor alarming high respirations; apical HR 136, RR 34, BP 130/58, PaO2 74% with FiO2 40%; BiPAP in place with settings unchanged; client skin is cool to touch face, chest, and arms; skin pale; client moaning and unresponsive to questions; arterial blood gas (ABG) obtained right radial artery. —R. Lowe, RN 01/01/20XX 0815 Client remains unresponsive, now without vocalization; apical HR 158, RR 37 and shallow, BP 102/44, PaO2 72% with FiO2 40%; BiPAP in place with settings unchanged; client skin remains pale and cool to touch face, chest, and arms; healthcare provider notified. —R.
SCIENCE
HEALTH SCIENCE
NURSING

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