Question

PR is not heavily sedated and seems anxious about all that is going on can help her Describe how you Chart View rterial Blood Gases ph Paco, 7.30 52mm Hg 22 mmol/L 70 mm Hg 88% НСО Spo, ABGs are redrawn after P.R. has been on mechanical ventilation for 2 hours What ventilator setting changes do you anticipate based on your interpretation of these values? Select all that apply, and explain your rationale a. Increasing the PEEP to 10 cm b. Increasing the rate on the ventilator to 16/min c. Increasing the V, to 850 ml d. Changing to continuous mandatory ventilation

Answer 1

Q. No 1. Answer :

Acute respiratory failure pathophysiology:

* Due to any infections or any fluid accumulation in the lungs,

* The inflammatory responses may taken place.

* so excess mucous production or decreases the oxygen and carbon dioxide exchange capacity.

* There is a increased demand for oxygen.

* And there is no proper supply of oxygen to the body cells and tissues,

* Which may leads to cyanosis, breathing difficulty and other respiratory distress problems.

Q. No 2. Answer :

P. R is having

* cyanosis,

* stuper

* hyper thermia, 101degree f.

* hypotension 90/68 mm of hg

* tachycardia ,134 b/ mit

* tachypnea, 38 b / min

* Low oxygen saturation level that is 53% of spo2.

It indicates the client is having a severe infection with pneumonia. And also sepsis.

Due to severe infection and inflammation of the lung parynchyma the pneumonia may occurs.

Due to that we can see this signs and symptoms.

Q. No 14. Answer :

Five indicators to assess fluid status :

1. Hypo tension, because she is having 90/60 mm of hg.

2. Hyper thermia 101 degree f.

3. Tachycardia 134 b / min.

4. By seeing low urinary out put

5. Poor capillary refill time.

6. Poor skin turgor

These are the indicators to assess the fluid status in the client because all these are seen in hypovolemic condition.

Q. No 18. Answer :

Three treatment goals related to skin and positioning :

* second hourly changing positions, with support of soft pillows.

* keeping alpha bed or water bed.

* Applying moisturizers on the skin, to reduce frictions.

By maintaining these three we can reduces the pressure ulcer or decubetis ulcers of client.