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학습 자료 둘러보기 →For a patient with COVID-19 and moderate respiratory distress, an SpO₂ of 88% on room air indicates significant hypoxemia. The immediate priority is to administer supplemental oxygen to increase the FiO₂ and prevent decompensation.
A systematic approach begins with ensuring a patent airway, then immediately addressing hypoxemia with oxygen. An SpO₂ of 88% correlates with a PaO₂ of approximately 55-60 mmHg, meeting the criteria for hypoxemic respiratory failure. Delaying oxygen can lead to worsening failure and potential need for mechanical ventilation.
Do not delay oxygen administration to notify a provider or reposition the patient. In many facilities, a standing order or protocol allows nurses to initiate oxygen for SpO₂ below 90%.
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