Sarah is a 69-year Old Female

Sarah is a 69-year old female that presented to the emergency department with shortness of breath. Her past medical history includes heart failure and COPD. Her pulse oximetry on room air is 82%. You notify the provider, and he orders oxygen at 4 L via nasal canula NC. Sarah’s chest x-ray reveals bilateral pneumonia. Her arterial blood gas result are below:
pH
7.30
PaCO2
58 mm Hg
PaO2
78 mm Hg
HCO3
26 mEq/L

Sarah is admitted to a general medical floor. You are the nurse assigned to Sarah.

-What potential problems can occur based on the above findings?
-How would you provide multidimensional care for Sarah?
-Describe the roles of other departments in Sarah’s treatment plan.