[Verified Answer]: Sally – Anne is a 6 7 – year – old female

Sally – Anne is a 6 7 – year – old female. She lives at home alone with her Russian Blue cat Willow. Sally – Anne has two children however they both live in interstates. Her NOK is her next – door neighbour, Fiona. Sally – Anne smoked for 4 0 years and now has a diagnosis of COPD. Sally – Anne has had 2 falls in the last week. She was diagnosed with hypertension ( approximately 2 0 years ago ) and COPD ( 8 years ago ) . Her current medications are: Atorvastatin 1 0 mg daily. Salbutamol 2 0 0 mcg ( 2 puffs ) every 4 hours when required. Spiriva 1 capsule ( 1 0 mcg ) inhaled daily. Pulmicort Turbuhaler ( 1 0 0 microg ) 2 inhalations twice daily. Sally – Anne has recently been experiencing a persistent cough throughout the day. This cough is producing large amounts of sputum. She is feeling more SOB on exertion. In the last 4 hrs , Sally – Anne has noticed she is unable to walk and is now talking in broken sentences. Sally – Anne phoned 0 0 0 and was taken to emergency. On arrival, you receive the above handover from the paramedics. You take her observations and complete the emergency Adds Chart below: Respiratory Rate: 33, O2 sat on 5L hudson, HR 130, BP 180/95, Temperature 37.1, Adds score of 12. Considering the observations that you have just taken on Sally – Anne and the A – E approach, explore the top two priorities. * * * Your answer can include nursing interventions, diagnostic tests, and medical orders / interventions .  Examine the pathophysiology changes of Sally – Anne’s COPD. In your answer analyse and evaluate how you will measure the effectiveness of your chosen two priorities. Use up – to – date evidence – based practices to support your answer.