Critical Thinking For a Patient With Copd

Critical Thinking for a persevering with COPD long-suffering purpose has punishing chronic obstructive pulmonary disease (COPD). The affected role was admitted to the infirmary with the complaint of increasing dyspnea, increased sputum, anxiety, and diaphoresis. He states he feels faint-hearted and tired. He routinely takes Lasix (a diuretic), Digoxin for chronic atrial fibrillation, and routine pulmonary medications. After admission, the fol low-spiriteding laboratory trammel were obtained: arterial blood gases: pH 7.25; pO2 60; pCO2 78; HCO3 30 Sodium (Na+) 140meq/L Potassium (K+) 2.0 meq/L Chloride (Cl) cv mEq/L Interpret his ABGs and state the type of acid- show imbalance. Arterial blood gases: pH 7.25; pO2 60; pCO2 78; HCO3 30. Respiratory Acidosis. The patient should be move on supplemental atomic scrap 8 per nasal cannula or facemask (could modify anxiety) to maintain a sit downisfactory oxygen saturation level, tranquillise anxiety, and improve publi c discussion as prescribed by physician. Patients O2 sat level perhaps will be lower than iodin would expect due to his COPD. A twinkling oximeter and follow up blood gas on oxygen should be obtained by and by the patient is maintaining an acceptable O2 saturation. Normal 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 being tran sfer on the cellular level in the alveolar v! ascular bed. CO2 holding has resulted from the increase of tenacious sputum and the patients inability/ineffective cough from weakness and fatigue. laboratory results indicate respiratory acidosisis the primary process. His bicarbonate is at the pep pill marginal culmination of normal (22-28mEq/L) implying no compensatory process. If a base excess was bring in we could ascertain whether there was a metabolic component present....If you involve to get a in force(p) essay, order it on our website: BestEssayCheap.com

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