Critical Thinking For a Patient With Copd

Critical Thinking for a persevering with COPD long-suffering situation has punishing chronic obstructive pulmonary di sease (COPD). The enduring was admitted to the infirmary with the complaint of change magnitude dyspnea, increased indifference, anxiety, and diaphoresis. He states he feels faint-hearted and tired. He routinely takes furosemide (a diuretic), Digoxin for chronic atrial fibrillation, and routine pulmonary medications. after admission, the fol woefuling laboratory repair were obtained: arterial blood gases: pH 7.25; pO2 60; pCO2 78; HCO3 30 Sodium (Na+) 140 milliequivalent/L Potassium (K+) 2.0 meq/L Chloride (Cl) 105 mEq/L sympathize his ABGs and state the type of acid-base imbalance. Arterial blood gases: pH 7.25; pO2 60; pCO2 78; HCO3 30. Respiratory Acidosis. The patient should be move on supplemental atomic return 8 per nasal cannula or facemask (could modify anxiety) to maintain a sitisfactory oxygen fertilization level, tranquillise anxiety, and improve dissemination as prescribed by physician. Patients O2 sat level perhaps go away be lower than iodin would expect due to his COPD. A twinkling oximeter and follow up blood gas on oxygen should be obtained after the patient is maintaining an acceptable O2 saturation. typical means air arterial blood gas levels (at sea level) pH 7.35-7.457.

25 low (acidosis) SaO2 94-100% PaO2 75-100mmHg60 low (hypo oxygenation) PaCO2 35-45 mmHg78 high (hypercapnia) HCO3 22-26 mEq/liter30 high The patient has a low pH (acidemia) the PCO2 is high (hypercapnia), O2isnt cosmos exchanged on the cellular level in the dental vascular bed. CO2 dimension has resulted from the increase of tenacious sputum and the patients inability/ineffective cough from impuissance and fatigue. Lab results indicate respiratory acidosisis the primary process. His bicarbonate is at the upper marginal apogee of normal (22-28mEq/L) implying no compensatory process. If a base excess was pick out in we could ascertain whether in that location was a metabolic constituent present....If you involve to get a full essay, order it on our website: Ordercustompaper.com

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