Homework Answers
Because this may land up the patient into respiratory acidosis. His pH is already low. Otherwise, his acidosis might get worsened.
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Stop and Think: Critical Thinking Activities 1. A patient with severe COPD has a Paco2 of...
A patient with Asthma at one point has the following ABG’s: pH = 7.55, PaCO2= 30...
A patient with Asthma at one point has the following ABG’s: pH = 7.55, PaCO2= 30 mmHg, and PaO2= 65 mm Hg. What is accounting for these initial values? Later that patient, presents with the following ABG’s: pH = 7.35, PaCO2= 45 mmHg, and PaO2= 42 mm Hg. Some students have said that the patient is showing improvement, as pH and PaCO2 are closer to “normal” values. Why is this reasoning incorrect?
A patient with Asthma at one point has the following ABG’s: pH = 7.55, PaCO2= 30...
A patient with Asthma at one point has the following ABG’s: pH = 7.55, PaCO2= 30 mmHg, and PaO2= 65 mm Hg. What is accounting for these initial values? Later that patient, presents with the following ABG’s: pH = 7.35, PaCO2= 45 mmHg, and PaO2= 42 mm Hg. Some students have said that the patient is showing improvement, as pH and PaCO2 are closer to “normal” values. Why is this reasoning incorrect?
15. Mr. Appel has severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital...
15. Mr. Appel has severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital with the complaint of increasing dyspnea, increased sputum, anxiety, and diaphoresis. He states he feels weak and tired. He routinely takes a diuretic (furosemide) and his pulmonary medications. Patient values: Sodium (Na+) 140 mEq/L Potassium (K+) 2.0 mEq/L Chloride (Cl–) 105 mEq/L Arterial blood gases (ABGs): pH - 7.25; PCO2 - 78 mm Hg; PO2 - 60 mm Hg; HCO3 - 30 mEq/L Normal...
A 75-year-old man with a long history of COPD and a past smoking history of 114...
A 75-year-old man with a long history of COPD and a past smoking history of 114 pack-years presents to the ED with shortness of breath, productive cough with green purulent sputum, and cyanosis. He has had two prior hospitalizations for acute infective exacerbations of his COPD within the past year. He has no comorbidities or occupational exposure. Physical examination reveals the following: pulse 105 beats/min and regular, blood pressure 140/85 mm Hg, respirations 30 breaths/min with prolonged expiration and use...
9. Critical Thinking: If a patient has a low SPO2 % level, does this mean they...
9.
Critical Thinking: If a patient has a low SPO2 % level, does this mean they are having difficulty breathing? Can you think of anything which may alter results not having to do with breathing? FS FS FIO /m
Case Study 22-1 ts A 62-year-old man with a history of chronic obstructive pulmonary disease (coPD)...
Case Study 22-1 ts A 62-year-old man with a history of chronic obstructive pulmonary disease (coPD) presen to the emergency department (ED) with a chief complaint of worsening shortness o (SOB) over a 2-day history; the SOB came on following a recent upper respiratory infect In the ED, his oxygen saturation is 86% on room air. He is complaining of severe dyspnea, only speaking in short sentences, and appears very fatigued. His vital signs are as follow s: RR: 28...
A 30-year-old male patient came to the emergency room with symptoms of severe weakness and dehydration....
A 30-year-old male patient came to the emergency room with symptoms of severe weakness and dehydration. The nurse interviewed the patient and the nurse learned that the patient had been vomiting for four days. The patient stated, “I think I ate something bad in the party that I attended.” During the admission assessment, the vital signs of the patients are: temperature = 39 degrees Celsius, pulse rate = 116 bpm, respiratory rate = 18 breaths/min, and BP = 86/54 mm...
228 Chapter 25 Fluid CRITICAL THINKING ACTIVITIES 1. Prepare a patient education plan for the patient...
228 Chapter 25 Fluid CRITICAL THINKING ACTIVITIES 1. Prepare a patient education plan for the patient with kidney disease who needs to decrease his intake of potassium. What foods should the patient avoid? pare a patient education plan for a Hispanic-American patient who has hypertension. He will need to decrease the sodium in his diet. Outline the plan. 2. Prep
help with questions please Critical Thinking Questions Scenario: Mrs. Plaskowitz is a 60-year-old woman with COPD...
help with questions please
Critical Thinking Questions Scenario: Mrs. Plaskowitz is a 60-year-old woman with COPD who is admitted lance wearing a nonrebreathing mask at 10 Lpm. Mrs. Plaskowitz, who was awake and alert when the am her home, is now extremely lethargic and somnolent. The ED physician orders you to change the oxygen to the emergency department (ED) via ambu- bulance arrived at nasal cannula. 1. Briefly explain the cause of the "patient's lethargy 2. If the "patient" were...
A patient has just been admitted to the emergency room around 9 pm. The patient was disoriented, ...
A patient has just been admitted to the emergency room around 9
pm. The patient was disoriented, had trouble speaking, and was
suffering from nausea and vomiting. She was also hyperventilating,
i.e. over breathing. The patient accidentally took an entire bottle
of aspirin, which contained 250 tablets, around 7 pm that evening.
Blood from the patient is analysed and the analyses shown in Table
1. The patient is experiencing mild respiratory alkalosis.
In the emergency room, the patient is given...
9.
Critical Thinking: If a patient has a low SPO2 % level, does this mean they are having difficulty breathing? Can you think of anything which may alter results not having to do with breathing? FS FS FIO /m
Case Study 22-1 ts A 62-year-old man with a history of chronic obstructive pulmonary disease (coPD) presen to the emergency department (ED) with a chief complaint of worsening shortness o (SOB) over a 2-day history; the SOB came on following a recent upper respiratory infect In the ED, his oxygen saturation is 86% on room air. He is complaining of severe dyspnea, only speaking in short sentences, and appears very fatigued. His vital signs are as follow s: RR: 28...
228 Chapter 25 Fluid CRITICAL THINKING ACTIVITIES 1. Prepare a patient education plan for the patient with kidney disease who needs to decrease his intake of potassium. What foods should the patient avoid? pare a patient education plan for a Hispanic-American patient who has hypertension. He will need to decrease the sodium in his diet. Outline the plan. 2. Prep
help with questions please
Critical Thinking Questions Scenario: Mrs. Plaskowitz is a 60-year-old woman with COPD who is admitted lance wearing a nonrebreathing mask at 10 Lpm. Mrs. Plaskowitz, who was awake and alert when the am her home, is now extremely lethargic and somnolent. The ED physician orders you to change the oxygen to the emergency department (ED) via ambu- bulance arrived at nasal cannula. 1. Briefly explain the cause of the "patient's lethargy 2. If the "patient" were...
A patient has just been admitted to the emergency room around 9
pm. The patient was disoriented, had trouble speaking, and was
suffering from nausea and vomiting. She was also hyperventilating,
i.e. over breathing. The patient accidentally took an entire bottle
of aspirin, which contained 250 tablets, around 7 pm that evening.
Blood from the patient is analysed and the analyses shown in Table
1. The patient is experiencing mild respiratory alkalosis.
In the emergency room, the patient is given...
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