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Original Question

Wallace Peterson is a 69-year-old male with a 6-year history of the chronic obstructive pulmonary disease who presented to the emergency department at 0100 on Tuesday morning with moderate respiratory distress, a productive cough, and a fever. We have obtained ABG, CBCD, and CMP results and they are as follows; pH: 7.32, PCO2 50, PO2 63, HCO3 27, O2 saturation92%, hemoglobin 14.9, HCT 44, RBC 4.8, WBC 15,9000, platelet 251000, BUN 24, Ca 9.1, CL102, CO2 32, creatinine 0.9 glucose 97, K 3.8, and Na 141. Gender: M; weight 131lbs; Height 5”; religion Catholic; allergies NKDA, immunization UTD; surgeries appendectomy at age 40; Primary physician DR.singh Nursing diagnoses Impaired gas exchange 1. SBAR formate for this patient, please. 2. two nursing interventions with rationals.

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