There can't be much ventillation going on there. COPD pts don't have a normal 02 drive. That sat is right on the edge of the curve before it falls into oblivion if it is acurate. What you have is a pt that runs on an 02 drive being given 100%,sat in the 80's.................If they stop using accessory to breath,I would use an ABG to titrate. In the meantime I wouldn't rely on pulse ox,especially from a clubbed finger,since their etiology is poor perfusion in the first place.
Mother of God.................I hope the RT has an art-line
Been 10 years since I stepped foot in an ICU,but your always playing with fire by using 02,poor sites for P.O.,and a hesitation to hypoventilate indirectly with pain meds with an end stage COPD.
I don't know if it's good news,but it can't get worse from there!
Meanwhile I'm stuck in a LTC giving LOL's bedbaths,and will have to use fat-burners for my adrenalin rush for now :stone
BTW,I wrote the above for the benefit of lurkers that might be too shy to ask. There's nobody better than an ICU nurse. For all I know,you might be reading dynamic sats from an indwelling catheter by now.
Just gets me excited.
Please.......please...........pretty please, with a bathroom break on top,tell us some more!!