Question

Read the case study. Then answer the questions at the end of the case study. The...

Read the case study. Then answer the questions at the end of the case study.

The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping.

She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily.

There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years. She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known foods, drugs, or environmental allergies.

Physical Exam

Initial physical exam reveals temperature 97.3 F, heart rate 74 bpm, respiratory rate 24, BP 104/54, BMI 40.2, and O2 saturation 90% on room air.

Pulmonary/Chest: No respiratory status distress at this time, tachypnea present, (+) wheezing noted, bilateral rhonchi, decreased air movement bilaterally. Patient barely able to finish a full sentence due to shortness of breath.

ABG: Initial arterial blood gas with pH 7.491, PCO2 27.6, PO2 53.6, HCO3 20.6, and oxygen saturation 90% on room air.


What is your interpretation of the ABG results?
Based on the findings, what is the clinical diagnosis?
What medication would you anticipate the health care provider ordering?
What is the difference between Bipap and CPAP?
0 0
Add a comment Improve this question Transcribed image text
Answer #1

●The pH is 7.491 which is elevated (7.36_7.44).This happens in alkalosis

The CO2 is 27.6 which is decreased (36_44) .This indicates the patient has some respiratory issue

The HCO3 is20.6 which is decreased (22_26) This happens when the acid based balance is partially compensated

The ABG interpretation reveals the patient has Respiratory Alkalosis (Partly compensated)

● The finding indicate that the patient may have a COPD exacerbation or respiratory alkalosis or Heart failure in relation to the symptoms like tachypnea,acid base imbalance, dyspnea,wheezing ,bilateral bronchi,decreased saturation, hypotension .

The BMI shows that the patient is morbidly obese

●The medication which can be anticipated

  • To raise blood pressure (Fludrocortisone,Midodrine)
  • IVF to increase blood volume and increase blood pressure
  • Bronchodilator to relieve shortness of breath
  • Corticosteroids to reduce any inflammation

● The difference between Bipap and CPAP are

BIPAP

CPAP
  • Bi-Level Positive Airway Pressure
  • Two pressure mode can be set
  • The pressure vary during inspiration and expiration
  • Exhalation is easier in this
  • This device is expensive
  • Continuous Positive Airway Pressure
  • Only one pressure mode can be set
  • The pressure remains the same during inspiration and expiration
  • Exhalation cam be little harder
  • Cheap in price
Add a comment
Know the answer?
Add Answer to:
Read the case study. Then answer the questions at the end of the case study. The...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • Read the case study. Then answer the questions at the end of the case study. The...

    Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...

  • Read the case study. Then answer the questions at the end of the case study. The...

    Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...

  • Read the case study. Then answer the questions at the end of the case study. The...

    Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...

  • Read the case study. Then answer the questions at the end of the case study. The...

    Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...

  • Read the case study. Then answer the questions at the end of the case study. The...

    Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...

  • Read the case study. Then answer the questions at the end of the case study. The...

    Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...

  • Read the case study. Then answer the questions typed at the end of the case study....

    Read the case study. Then answer the questions typed at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath.  Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production...

  • Read the case study. Then answer the questions at the end of the case study. The...

    Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...

  • The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness...

    The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...

  • The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness...

    The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT