Answered: BE +5 Hb 13g/dl ETCO2 30 mmHg P B 740…

BE +5 Hb 13g/dl ETCO2 30 mmHg P B 740 mmHg Part 1: Calculate the patient’s dead space to tidal volume ratio and explain the significance Part 2: What is clinically happening to the patient?

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter24: Noninvasive Positive-pressure Ventilation

Section: Chapter Questions

Problem 1SEPT

See similar textbooks

Similar questions

Case #1Mrs. G, a 62-year-old female, was seen in the emergency department for complaints of increasing shortness of breath. Mrs. G states that seven years ago her family physician told her she had emphysema.At home she is on oxygen via nasal cannula at 1 lpm, and a small volume nebulizer with albuterol sulfate four times a day. Her vital signs are as follows: HR 108/minute, RR 28/minute, BP 142/80 mmHg.ABG results on a 24% venturi mask are:pH 7.32P a CO 2 62 mmHgP a O 2 50 mmHgHCO 3 30 mEq/lS a O 2 85%BE +5Hb 13g/dlETCO2 30 mmHgP B 740 mmHgPart 1: Interpret the ABGPart 2: Calculate Mrs. G’s PaO2 and A-a gradient.
Case #1Mrs. G, a 62-year-old female, was seen in the emergency department for complaints of increasing shortness of breath. Mrs. G states that seven years ago her family physician told her she had emphysema. At home she is on oxygen via nasal cannula at 1 lpm, and a small volume nebulizer with albuterol sulfate four times a day. Her vital signs are as follows: HR 108/minute, RR 28/minute, BP 142/80 mmHg. She is on 24% venturi mask. Mrs. G's ABG results indicate respiratory acidosis, concurrent hypoxemia, and metabolic compensation. Part 1) Her paO2 is 100.1 mmHg. Part 2) Her (A-a) gradient is approximately 50.1 mmHg. Part 3) Her dead space to tidal volume ratio (Vd/Vt) is 0.885 and Please explain what is clinically happening to the patient.
Case # 1 Mrs. G, a 62-year-old female, was seen in the emergency department for complaints of increasing shortness of breath. Mrs. G states that seven years ago her family physician told her she had emphysema. At home she is on oxygen via nasal cannula at 1 lpm, and a small volume nebulizer with albuterol sulfate four times a day. Her vital signs are as follows: HR 108/minute, RR 28/minute, BP 142/80 mmHg. She's on a 24% venturi mask. Mrs. G's ABG results indicate partially compensated respiratory acidosis moderate hypoxemia with a base excess of +5. Part 1: PAO2 (oxygen partial pressure inside the alveoli) is 88.82 mmHg Part 2: Her actual A-a gradient is 38.62 mmHg.(Say normal for her 19.5) Part 3: Her actual dead space to tidal volume ratio is 0.52 (Say normal range: 0.25 to 0.40) What is clinically happening to the patient?
Hemodynamic Monitoring Case Study: A 67-y.o woman is admitted to the ICU with a dx. of hypotension of unknown origin. She is presently unresponsive but is breathing spontaneously on her own. Lungs are clear, urinary output is 15ml in 8 hours, and her skin is cool. A PA catheter is inserted to obtain more information and guide therapy. The following information is revealed: BP 86/54mmHg PAWP 4mmHgP 118/min CVP 2mm/HgRR 30 breaths/min SVR 1393 dynesC.O. 3.5 L/min PVR 195 dynesC.I. 1.9 L/min SvO2 50%PA 24/10mmHg Which Values tell us about this patient's filling pressures/fluid status? Are these values adequate? Which Values tell us about this patient's contractility? Are these values adequate? Which values tell us about this patient’s vascular resistance? What is causing this patient's hypotension? Which initial therapy is appropriate?
C.J a 49 year old construction worker is scheduled for a bronchoscopy for biopsy of a right lung session.He initially sought medical care for hemoptysis and increasing fatique.When the nurse asked him to sign the operative permit,he stated that he was not certain if he should go ahead with the procedure because he fears a diagnosis of cancer. Subjective Data Has never been hospitalized Has had no medical problems except mid obesity Has cigarette smoking history of 40 pack years Is married with two children,ages 6&8 both children have cystic fibrosis Is fearful that his wife not be able to manage without him Objective data Diagnosuic studies :chest x-ray revealed mass in upper lobe of right lung Hematrocrit:31% What factors in C.J. background or personal situation might influence his emotional response and physical reactions to this surgery? What should C.J. know if his consent for surgery is to be truly informed? Priority Decision: C.J. will be an outpatient for this…
CASE SCENARIOMr. Y is a 59-year-old Head of the Accounting Department in a certain Information and Technology Company. While having his breakfast at home, Mr. Y suddenly experienced slurring of speech, facial droop on the left side with weakness in left side of upper and lower limbs. His wife noted these sudden onset of symptoms and immediately called for help. Past health history revealed asthma which started at age 8. He was on prediabetes state 5 years ago and was diagnosed with Hypertension Stage 1 three years ago. He used to work for 50-60 hours per week as compared to his working hours during the pandemic which is recently reduced to 30 hours per week. Minimal change in lifestyle was done after he was diagnosed with hypertension, but remains a smoker for approximately 39 pack years. A social beer drinker about 10 standard drinks per week at 3-4 sessions. Outside work, he enjoys playing online games. Upon assessment patient was confused, with mild left sided neglect and altered…
Case Study # 2 A 50-year-old man has developed shortness of breath with exertion several weeks after experiencing a viral iliness. This is accompanied by swelling of the feet and ankles and some increasing fatigue. On physical examination he is found to be mildiy short of breath lying down, but feels better sitting upright. Pulse is 105 and regular, and blood pressure is 90/60 mm Hg. His lungs show crackles at both bases, and his jugular venous pressure is elevated. A third heart sound is present but no mumurs are heard on auscultation of the heart. The liver is enlarged, and there is 3+ edema of the ankles and feet. An echocardiogram shows a dilated, poorly contracting heart with a left ventricular ejection fraction of about 20%. Because of an abnormal ECG, he undergoes a coronary angiogram, which shows normal coronary arteries. The presumptive diagnosis is dilated cardiomyopathy secondary to a viral infection with stage C heart failure. He is placed on a low-sodium diet and treated…
107 A 23-year-old woman comes to the physician because of a 3-hour history of sharp left chest wall pain when she breathes deeply or coughs. She also has an 8-day history of fever, headache, nasal congestion, and productive cough. Her temperature is 38°C (100 4°F), and respirations are 18/min Physical examination shows decreased breath sounds over the left posterior hemithorax. A chest x-ray shows left lower lobe pneumonia and a pleural effusion on the left. Sensory fibers in which of the following nerves most likely transmit the pain sensation from the chest wall when this patient coughs? A) Cardiac plexus B) Intercostal nerves C) Long thoracic nerve D) Thoracic splanchnic nerves E) Vagus nerve
Case study - respiratory system disease: read the case and answer the questions this work is individual, add the question numbers to the text field below to answer the 3 questions . A young lady takes her 4-month-old infant to urgent care. The baby presents persistent cough, fever of 101.5 degrees * F chills, and lack of appetite. These symptoms manifested on the day the family returned from a trip to relatives' houseThe trip lasted 3 days, one of their cousins had similar symptoms and had long interactions with the baby 1. The doctor sees some clear signs that this is not just a cold and that the baby should be tested for the Influenza virus. Which could be these signs (not symptoms) to lead to the doctor's decision to perform this test? Cite the main differences between the common cold and the flu. 2. Why had the doctor suspected of flu and not of COVID-197 (Read the CDC link: Differences between the flu and the COVID -19 virusesctrl before clicking on this link.) 3. After…
V.W, a 69-year-old male. You will address a postoperative client who has been non-compliant with ambulation and the use of his incentive spirometer. Ultimately, the client develops respiratory complications associated with pulmonary embolism. Clinical Picture: VW is a 69 year old male who presented to the ER 4 days ago for c/o nausea, vomiting and severe abdominal pain. He underwent emergency surgery for bowel perforation. PMHX: Cataracts, HTN Final DX: bowel perforation, s/p left hemicolectomy The scenario will begin with the charge nurse giving students a report on the patient. Chart Name: Vernon Watkins Age: 69 Gender: Male Weight: 80 kg Height: 5 feet, 10 inches Race: Caucasion Religion: Christian Wife: (major support) - Martha Watkins Allergies: Penicillin (hives) Immunizations: Current Current set of vitals on the chart: T: 98.6 HR: 100 RR: 21 BP: 146/88 SP02: 96% on RA LAB DATA: None available Provider's Orders Diet: Soft advance as tolerated Fall…
tein X Case Studies.docx X + rl=https://wheatland.orbundsis.com/einstein-freshair/Videos/0216D9403D0ED43358766A676D8A4817/Case+Stuc TCentral | NBA... a Amazon.com: Onlin... (6) The Reason Why... Isaiah Blames Zora... Beyond The Lights... Case Study, Chapter 26, The Digestive System Mr. McArthur is hospitalized with pancreatitis and cholecystitis. Neither his gallbladdernor his pancreas are functioning normally at this time. The client is placed on a NPO (nothing by mouth) diet order, given intravenous fluids and pain medication. The nurse is aware that the pancreas has two functions: one being endocrine, secretion of hormones to assist with glucose control and the other being exocrine, aiding the digestive system. Mr. McArthur is scheduled for gallbladder removal in the morning to treat the cholecystitis. (Learning Objective 4) 1. The client asks what his gallbladder does. What is the nurse's best response? 2. The client also asks how the pancreas works to help with digestion. What…
What are 3 interventions with rationale for a patient with impaired gas exchange, acute pain, and imbalanced nutrition due to lung cancer.