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1) 33 year-old male, s/p housefire, R/O possible CO poisioning, RR 36, HR 130, B/P 135/87, T 98.7 •02 Sat on 21% = 89% •...

1) 33 year-old male, s/p housefire, R/O possible CO poisioning, RR 36, HR 130, B/P 135/87, T 98.7
•02 Sat on 21% = 89%
•1 hour later after 02, ABG = 7.40/40/88/24/95%
•Titrate to:
•Other possible treatments?
•Follow up assessments? Diagnostic tests?

2) 66 year-old male HX of cardiac problems, R/O Pulmonary Edema
•HR 125, B/P 160/100, RR 30, B/S bilateral rales
•NPC present, accessory muscle use, dyspneic, tachypneic
•02 Sat on 21% = 88%
•ABG on 21% = 7.35/45/58/28/88%. Why is that????????
•30 minutes later: HR 136, B/P 166/102/RR 36, B/S same, same signs/symptoms as above
•7.34/47/55/29/86%. Why is that?????????
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Answer #1

Q1:

Other possible treatment:

1. Safe environment( out off CO poisoning)

2. High fiwlers position.

3. Hyperbaric oxygen therapy.

4. Continue to monitor corboxy hemoglobin level.

Follow up assessment:

1. Closely monitor the signs and symptoms of CO poisoning.

2. check ABG level

3. Carboxy hemoglobin level.

Diagnostic test:

1. ABC level.

2. Carboxy hemoglobin level

3. Chest x ray.

Q2:

Why is that?

Both ABG:

PH: compensated.

Pco2: its normal

Po2: indicates hypoxemea- low oxygen transferred by blood

Bicarbonate: normal.

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