Page 154 - AACN Essentials of Critical-Care Nursing Pocket Handbook, Second Edition
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mechanical ventilation,
Algorithm to Correct Hypoxemia in an Acute COPD Patient
Consider NPPV, or intubation
Yes
Yes
pH <7.35? (with PaO 2 >60 mmHg) No Maintain O 2 SaO 2 >90% Reassess ABG in 2 hours pH <7.35? (with PaO 2 >60 mmHg) Yes No change in oxygen setting
Yes Algorithm to correct hypoxemia in an acute Ill COPD patient. ABG: arterial blood gas; NPPV: noninvasive positive pressure ventilation; O 2 : oxygen; PaCO 2 : arterial carbon dioxide tension; PaO 2 : arterial ox
Assess patient, obtain ABG, begin oxygen Assure PaO 2 > 60 mmHg Adjust O 2 to SaO 2 >90% Hypercapnia? (PaCO 2 >50 mmHg) Yes
No
No change in oxygen setting Reassess ABG in 1-2 hours Hypercapnia? (PaCO 2 >50 mmHg) No Maintain O 2 SaO 2 > 90%
Accessed December 11, 2009.)
5.13
