Jacky is a 63 year old female who has been admitted to your ward following an acute exacerbation of COPD (AECOPD). Her obs are as follow:
Spontaneously ventilating via nasal prongs (NP) with 3L O2
BP: 130/85 mmHg
Oxygen Sat: 92%
HR: 85 bpm
Pt is resting in bed in a semi-recumbant position and has evident central cyanotic changes.