What immediate action should you take if a patient with COPD presents with an SpO2 of 95% but has a history of high blood pressure?

In the case of a patient with COPD presenting with an SpO2 of 95%, actively monitoring the patient closely is the most appropriate immediate action. While SpO2 readings of 95% generally indicate adequate oxygen saturation, patients with COPD may have varying baselines and response to oxygen therapy.

Given the history of high blood pressure, introducing additional oxygen could potentially lead to respiratory depression, particularly if the patient is reliant on hypoxic drive for their respiratory efforts. Therefore, it is crucial to monitor the patient's symptoms and vital signs closely before making any decisions about treatment interventions like initiating oxygen therapy, which could exacerbate their condition if not warranted.

Maintaining a careful observation allows for the assessment of the patient’s respiratory status and overall well-being, while also preparing for potential interventions if the patient's condition deteriorates or if there are signs of hypoxia. This monitoring phase is essential in managing patients with complex conditions like COPD, where their responses may not align with standard protocols.