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Goal: Short term: Patient will achieve improved gas exchanged evidenced by reduced use of accessory muscles, and a subjective report of decreased shortness of breath with in the next 12hrs. Long term: Within the next 72hrs, the patient will show sustained improvement in gas exchange, with oxygen saturation consistently maintained at 95% or higher, no use of accessory muscles, and a subjective report of no shortness of breath. Interventions: 1, Position the patient to alleviate dyspnea (e.g., semi-Fowler’s position), as appropriate, to improve ventilation and administer PRN Salbutamol every 4hrs as per order. 2. Monitor effectiveness of O2 therapy to identify hypoxemia and establish the range of O2 saturation. Administer scheduled bronchodilator and corticosteroid. Monitor pulse oximetry, respiratory rate, and effort of respirations to detect changes in respiratory status. 3. 4. two more intervention
SCIENCE
HEALTH SCIENCE
NURSING

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