How can I explain to a LOL

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Ok everybody, I am at my wits end with this pt of mine :banghead:and could use some ideas. This LOL is a classic pink puffer, came in to the E.R. with COPD exacerbation and was admitted to the floor. At home the pt was using her O2 at 3-4 LPM continuously. The problem is her ABG's showed a high critical CO2 level (78) meaning she is retaining CO2. We turned down her O2, explained to the pt why, explained to the family why increased O2 causes increased CO2 retention and all that. Ever since, this LOL has been on the call light every 30 min. minimum begging me to turn up her O2. I keep explaining, but I'm not getting through to her that IT WILL KILL HER! Any ideas of how to get through to her? Her Co2 retention is causing her to be SOB and all that is what I need to explain. I have tried explaining that she needs more effective breaths, not more O2, but no go. Thanks!

I would tell her the doctor has ordered the lower o2 delivery. Tell you are in no way increasing her o2 and risking her life and risking loosing your license. Leave it at that and walk away.

jgresh

Ok everybody, I am at my wits end with this pt of mine :banghead:and could use some ideas. This LOL is a classic pink puffer, came in to the E.R. with COPD exacerbation and was admitted to the floor. At home the pt was using her O2 at 3-4 LPM continuously. The problem is her ABG's showed a high critical CO2 level (78) meaning she is retaining CO2. We turned down her O2, explained to the pt why, explained to the family why increased O2 causes increased CO2 retention and all that. Ever since, this LOL has been on the call light every 30 min. minimum begging me to turn up her O2. I keep explaining, but I'm not getting through to her that IT WILL KILL HER! Any ideas of how to get through to her? Her Co2 retention is causing her to be SOB and all that is what I need to explain. I have tried explaining that she needs more effective breaths, not more O2, but no go. Thanks!
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