| PLAN |
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- Assess and monitor hydration and electrolytes.
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- Assess and monitor patient to ensure airway patency and adequate gas exchange.
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- Change position, as needed, to facilitate chest expansion.
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- Educate patient/family the reasons for oxygen therapy and other interventions, which may be required (low/high flow oxygen, suctioning, SVN's and possibility for intubation and mechanical ventilation).
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- Monitor mental status changes, restlessness, and irritability or increased fatigue
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- Other
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- Suction, as needed, and provide oral hygiene.
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- Assess lung sounds, respiratory rate, depth, effort and production of sputum.
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- Monitor blood gases results/pulse oximetry to assess oxygenation and ventilatory status.
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