You are treating a patient who states that he has been short of breath for the past month. Tonight, his breathing just "got too bad" and he decided to call 911. The 67-year-old male is alert and oriented and has a patent airway. He is breathing 24 times per minute but appears to have an adequate tidal volume. His pulse is strong and regular, and his skin is warm. Vital signs are: pulse 92 beats per minute, respirations 22, blood pressure 128/66 mmHg, and SpO₂ 93% while on home oxygen at 2 lpm. What instruction would you give to your partner regarding this patient's care?

Question

Quizplus · Accepted Answer

The patient's SpO₂ is only 93% while on home oxygen at 2 lpm, indicating a need for supplemental oxygen. However, his breathing appears to be adequate and he is hemodynamically stable. Starting with a low supplemental oxygen flow rate of 3 liters per minute through a nasal cannula would be appropriate to increase his oxygen saturation while avoiding potential complications from over-oxygenation. Referral to the patient's family doctor or the use of a nasal airway are not necessary at this time, and 15 lpm of oxygen would be excessive and could lead to carbon dioxide retention.

You Are Treating a Patient Who States That He Has