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학습 자료 둘러보기 →For a COPD patient on 2 L/min oxygen whose SpO2 drops to 88%, the nursing process mandates assessment as the first step. Immediately check respiratory rate, breath sounds, and level of consciousness to identify the cause of deterioration.
A change in level of consciousness is a critical finding that may signal hypercapnia or severe hypoxemia. This data guides the next intervention, such as adjusting oxygen or initiating non-invasive ventilation.
Never increase oxygen to high flow rates without assessment in COPD patients, as it can suppress the hypoxic drive in chronic CO2 retainers, leading to respiratory failure.
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