Mr Pitt is a 72 year old male who presented to hospital post trauma.
Mechanism of injury: Low speed pedestrian vs car.
DAY 5 after admission his observations are as follows
A – own airway, speaking in single words
B – RR 34 BPM, unable to deep breath/cough, SpO2 89%. Increased work of breathing noted. Noted to have intercostal, substernal and supraclavicular retractions.
C – HR 140 BPM, BP 85/45, peripherally cool
F – Urine output less than 30mls/hr. IV NaCl running at 100mls/hr
Explain the pathogenesis of his deteriorating Breathing.
What is your nursing strategy to improve his Breathing?