Answer Happy

2 DAYS LATER At this time the patient stated that his chest was feeling tighter and that he was even more short of breath. His vital signs were as follows: blood pressure 160/115, heart rate 97 bpm, respiratory rate 15/min and shallow, and oral temperature 37.8°C (100° F). Expectorated sputum was thick, yellow, and tenacious. He no longer was using his accessory muscles of inspiration or pursed-lip breathing. His breath sounds were diminished bilaterally, and crackles no longer could be heard over the right lower lobe. Dull percussion notes were elicited over the right lower lobe. His ABGs were as follows: pH 7.28, PaCO2, 82 mm Hg, HCO3,- 36 mmol/L, and PaO2 41 mm Hg. His hemoglobin oxygen saturation measured by pulse oximetry (SpO2.) was 68%. A repeat chest x- ray showed more extensive pulmonary infiltrates, particularly in the right lower chest. The physician ordered subcutaneous terbutaline every 8 hours. Based on the information above, write your SOAP