Questions?
How old is the fridge ? Is the RV close to level?
Have you had the outside vent cover off and checked for any yellowish powder around the cooling unit ?
If there is any sign of the powder ; shut the fridge off ! it's a fire hazard.
If there is no sign of the powder, there may be an internal blockage in the cooling unit , this is caused by crystallization of the fluid in the unit , sometimes leaving the fridge on the highest setting will dissolve the crystals , other times driving the RV around will move the crystals to where they can be dissolved, other times , removal of the fridge and shaking and rolling is required .
Worst case is replacement of the cooling unit , or the whole fridge.