Sally-Anne is a 67-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 40 years and now has a diagnosis of COPD. Sally-Anne has had 2 falls in the last week. She was diagnosed with hypertension (approximately 20 years ago) and COPD (8 years ago). Her current medications are: Atorvastatin 10 mg daily. Salbutamol 200 mcg (2 puffs) every 4 hours when required. Spiriva 1 capsule (10mcg) inhaled daily. Pulmicort Turbuhaler (100microg) 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 4hrs, Sally-Anne has noticed she is unable to walk and is now talking in broken sentences. Sally-Anne phoned 000 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:

Resp: 30-35
O2 Sat: 85-90
O2 Flow rate: >5L
HR: 130s
BP: 190s/90s
Temp: 37.1 - 37.5
Question 1: Part A
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.
Ensure that you link your information to the case study.
See the marking rubric for explicit details.
500 Words

Question 2: Part B
Differentiate the diagnosis of Exacerbation of COPD vs Pneumonia.
Analyse two diagnostic tests that would assist with the diagnosis and treatment of Sally-Anne.
Evaluate pharmacology knowledge and examine one medication you would give to Sally-Anne to assist her breathing.
Use your critical thinking and support your answer with evidence-based nursing.
Ensure that you link your information to the case study.
See the marking rubric for explicit details.
500 words