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Sections 2 and 6: It is reported that Poornima was instructed by another RN to turn off the oxygen for a patient who was a known CO2 retainer (the patient was in the resus bay and had O2 at 8L/min)....

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Sections 2 and 6: It is reported that Poornima was instructed by another RN to turn off the oxygen for a patient who was a known CO2 retainer (the patient was in the resus bay and had O2 at 8L/min). Poornima argued with the RN and after a few moments the RN turned it off herself. Poornima did not do as she had been asked to do and appeared to not understand CO2 retention.

Objectives:

· As a student Poornima is to recognise the significance of following CM instructions at all times;

· To recognise the condition of CO2 retention and its related nursing cares

Plan:

· Poornima is to prepare a literature based review of COPD focusing on CO2 retention. This review will note potential issues with CO2 retention and nursing strategies for same. 200 words Due Sunday 28th April 5PM

· Poornima is to follow the instructions of her CM. If she is unsure as to why she has been given an instruction she should engage in discussion to clarify her concerns rather than argue and endanger the lives of patients.

Reflection: “How can my interaction on this occasion have affected the patient and what could I have done differently to support better communication and patient care?” 200 words Due 28th April 2109.

Answered Same Day Apr 26, 2021

Solution

Anju Lata answered on Apr 27 2021
144 Votes
Literature Review of COPD focusing on CO2 Retention
The patients of COPD with chronic CO2 retention are hypoxic and require immediate emergency care. In such case, providing high levels of oxygen may lead the patient retain even more Ca
on dioxide. Thus, for the patients of COPD the ‘Oxygen therapy’ is provided in which the oxygen saturation should never exceed 93% (Patel & Majmundar, 2018). High oxygen saturation elevates the risk of respiratory acidosis and hypercapnia. Exposure to high levels of oxygen for prolonged duration can cause life threatening oxygen toxicity leading to major lung damage.
The patients at Resus bay are critical and...
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