Critical Thinking For a Patient With Copd

Critical Thinking for a uncomplaining with COPD forbearing character has punishing chronic obstructive pulmonary disease (COPD). The forbearing 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 abjecting laboratory envision 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- origination imbalance. Arterial blood gases: pH 7.25; pO2 60; pCO2 78; HCO3 30. Respiratory Acidosis. The patient should be move on supplemental atomic procedure 8 per nasal cannula or facemask (could modify anxiety) to maintain a sitisfactory oxygen saturation level, tranquillise anxiety, and improve public d iscussion as prescribed by physician. Patients O2 sat level perhaps will be lower than unrivalled would expect due to his COPD. A twinkling oximeter and follow up blood gas on oxygen should be obtained aft(prenominal) 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 bei ng transfer on the cellular level in the al! veolar vascular bed. CO2 holding has resulted from the increase of tenacious sputum and the patients inability/ineffective cough from weakness and fatigue. lab results indicate respiratory acidosisis the primary process. His bicarbonate is at the speed 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 skilful essay, order it on our website: BestEssayCheap.com

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