99. The NP is called to the bedside by nursing for your pati…
99. The NP is called to the bedside by nursing for your patient admitted for COPD exacerbation. This is her 3rd admission to the hospital this year however she has never required intubation. The patient’s shortness of breath has become considerably worse. She is now on a Nonrebreather at 100% FIO2 with sats 91%. She is A&O x3 but has increased work of breathing. She can barely answer any of your questions on assessment in more than 3-4 words without appearing breathless. She is tachypneic at 27. After 1-hour on Bipap, 10/6 40%, ABGs are as followed 7.33/PCO2 56/PAO2 74/HCO3 30 sats 93%. What should the provider do next?