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. ABG results on a 24% venturi mask are: pH 7.32 P a CO 2 62 mmHg P a O 2 50 mmHg HCO 3 30 mEq/l S a O 2 85% BE +5 Hb 13g/dl ETCO2 30 mmHg P B 740 mmHg Part 1: Interpret the ABG Part 2: Calculate Mrs. G’s PaO2 and A-a gradient.
Q: 2. What billing responsibilities are finished prior to the patient visit? Insurance information is…
A: This ensures that all necessary information and documentation are in place, allowing for smooth and…
Q: The nurse on shift is caring for a 66 year old male patient who was brought in to the urgent care…
A: Chronic kidney disease is a condition in which the function of kidney decrease over time and results…
Q: What would you do if your clinical preceptor or supervisor asked you to do something that was legal…
A: Something that is not moral, Illegal and against the law. An individual will be dishonest in their…
Q: How do patients with a stoma view their independence and their new body image and adjust to a new…
A: When individuals undergo stoma surgery, which involves the creation of an opening on the abdomen to…
Q: 76. Who founded nursing?What cutting-edge medical innovations have been made recently?
A: The general public has historically received high-quality care from nurses. Today's society is…
Q: 5. What duties do nurses do during the CT scan's pre-procedure?
A: A diagnostic technique is a method of diagnosis used to establish the cause of a specific illness or…
Q: 6. Describe the various medical facilities that provide patient care.?
A: Healthcare facilities are physical locations where medical services and patient care are provided.…
Q: What nursing interventions should be taken into account when giving NPH insulin?
A: Definition: NPH insulin, or Neutral Protamine Hagedorn insulin, is an intermediate-acting insulin…
Q: Dan, a 50-year-old man, is experiencing muscle stiffness and shaky hands. In the office, you also…
A: Parkinson's disease is a neurological condition caused by deficiency of dopamine in the brain.
Q: Why is it important to have one health information system? What is the advantages and disadvantages…
A: The health care sector is a very vast area, where documentations plays a key role in patient care.…
Q: What is status epilepticus? And what are the management options for this?
A: For a nurse encountering a patient with status epilepticus needs some skill sets to treat patients…
Q: 6. Discuss the benefits and drawbacks of nursing facilities for elderly people with mental illness.
A: Nursing homes are also called residential homes. These facilitate providing caring services to…
Q: The nurse in the vascular critical care unit is working with an LPN who was pulled to the unit as a…
A: A vascular critical care unit (sometimes referred to as a vascular intensive care unit or VICU) is a…
Q: Explain and demonstrate indirect blood pressure measurement using the manual technique that employs…
A: Indirect blood pressure measurement using the manual technique needs palpation or aural detection of…
Q: 1. Give two instances of community mental health's main prevention.
A: Community mental health's main goal is to promote and improve the mental health and well-being of…
Q: White, chalky stools are likely to be cause by: drinking too much milk ingestion of milk of magnesia…
A: Stool color changes can indicate digestive issues. Normally, brown stool reflects healthy bile…
Q: What elements make up a medical record?
A: Medical records are the systematic documentation of the patient medical history and care. It…
Q: Critically discuss your thoughts, comments, concerns and feelings on critical thinking and clinical…
A: Critical Thinking: Critical thinking involves objectively analyzing and evaluating information to…
Q: What strategies can you use to balance school and work obligations
A: Balancing school and work obligations can pose challenges, but effective strategies and good time…
Q: a. What is the article about? b. When did this happen? c. Where did it take place? d. Who is being…
A: a. What is the article about?This article mentions about cases of hepatitis in children. It talks…
Q: Fluconazole 200 mg po twice day is the prescribed dosage. Fluconazole 200 mg/5 mL is available. Send…
A: Given:Prescription dosage: Fluconazole 200 mg po (by mouth) twice a dayAvailable strength:…
Q: 7. Describe any obstructions that liver cancer could cause.
A: CancerIt is defined as the growth of abnormal cells characterized by cellular malfunction. Liver…
Q: 6. A _____ is an exposure or trait that raises the risk of contracting a specific disease.
A: Question :What refers to an exposure or characteristics that increase the likelihood of developing a…
Q: The client is receiving 320 mL (1 unit of PRBC) over 4 hours. The available IV tubing drop factor is…
A: PRBC is short for packed red blood cells. It is a blood product made by separating plasma and most…
Q: small-for-gestational age, large-for-gestational age, intrauterine growth restriction, gestational…
A: In obstetrics and pediatrics, various terms are used to describe fetal development and birth…
Q: 21. Describe the importance of taking physiological data and specify three to four typical…
A: Physiological measurements are those measurements that tell about different parameters of the…
Q: In detail nursing process ?
A: The role of a nurse involves providing care to patients and coordinating with other healthcare…
Q: 4. Comparison and contrast should be made between the pharmacological histories of cocaine and…
A: Cocaine is a stimulant substance that has a strong effect on the central nervous system.It is…
Q: 5. What are the standardised rules for reporting and coding? What do they do and why are they…
A: The ICD-10-CM's formal conventions and instructions are accompanied by a collection of rules called…
Q: What are value conflict between stakeholders in healthcare system?
A: Stakeholders in healthcare system are individuals or group that has an important role in the…
Q: If you are told by a physician that you test positive for a disease, what is the probability that…
A: When positive test results are received, it is critical to grasp the true likelihood of the…
Q: Select a treatment modality for ADHD and develop an annotated bibliography that provides a review of…
A: Title: Effectiveness of Cognitive Behavioral Therapy for Children with ADHD: An Annotated…
Q: Expalin your understanding on "Recognising and Responding to Acute Deterioration Standard". Please…
A: The Recognising and Responding to Acute Deterioration Standard is a framework consisting of clinical…
Q: You are assessing a 62 y/o with chief complaint of chest pain. The 12 lead indicates the pt is…
A: An attack on the heart's front wall is referred to as an anterior wall myocardial infarction (MI).…
Q: The earliest study reported here showed the negative effects of the cash and carry system. How has…
A: The Ghana Health Insurance Program is a national initiative aimed at improving healthcare access and…
Q: Discuss the differences between the symptoms of obsession vs compulsion when considering the…
A: Mental health refers to a person's overall psychological and emotional well-being. It encompasses a…
Q: Define harm
A: "Harm" implies any unfavorable outcome or suffering that might befall a patient due to medical…
Q: 6. How would you describe the long-term healthcare environment in the United States?
A: In the United States, the healthcare industry is inextricably linked to industrial activities that…
Q: A person with a disability has applied for a job with an employer who is subject to the ADA. The job…
A: Americans with disability act 1990, that prohibited discrimination between normal person and…
Q: 2. Define the following terms: Physical abuse, Domestic abuse Sexual abuse Emotional/Psychological…
A: The term 'definition' refers to the act or process of explaining the meaning of a word or term. It…
Q: Description and please explain of unit of nursing?
A: A profession and discipline that places a strong emphasis on advancing and maximizing the health and…
Q: Give typing answer with explanation and conclusion A patient was admitted to the emergency room with…
A: The specialized proteins known as immunoglobulins or antibodies, are created by plasma cells which…
Q: The team includes: Yourself (Registered Nurse), Zhihan (Enrolled Nurse) and Emily, Assistant in…
A: Mr Barry Hinkley, 82-yearold : Barry’s colostomy bag is full and needs to be changed. He is very…
Q: Case Study 1 Morphine Suspension (1 mg/mL) One of your long-term patients who you…
A: The opium poppy plant, Papaver somniferum, is the source of the powerful opioid analgesic drug…
Q: Give 5 examples questions using Likert scale simple questions in regards to issues and concerns of…
A: Likert scale is a commonly used rating scale used in surveys and questionnaires to measure people's…
Q: Give typing answer with explanation and conclusion what would respiratory therapist do to a patient…
A: • Respiratory therapists play a vital role in the management and treatment of respiratory…
Q: Drag True" next to the true statements and drag "False" next to the false
A: Whooping cough, also called pertussis is a highly contagious Respiratory Tract infection which is…
Q: Which key stakeholders can have nonfinancial influences on adult immunizations?
A: Adult immunizations play a crucial role in preventing infectious diseases, reducing morbidity and…
Q: ) How may anxiety or sadness be overcome?
A: Health is the state of absence of illness and a condition of physical, mental, and social…
Q: Choose 3 of the Interrelated Concepts below and explain how they are connected to Gas Exchange ~ 150…
A: • Gas exchange refers to oxygen diffusing from alveoli into pulmonary capillaries and carbon dioxide…
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.
ABG results on a 24% venturi mask are:
pH 7.32
P a CO 2 62 mmHg
P a O 2 50 mmHg
HCO 3 30 mEq/l
S a O 2 85%
BE +5
Hb 13g/dl
ETCO2 30 mmHg
P B 740 mmHg
Part 1: Interpret the ABG
Part 2: Calculate Mrs. G’s PaO2 and A-a gradient.
Trending now
This is a popular solution!
Step by step
Solved in 3 steps
- 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: Calculate the patient’s dead space to tidal volume ratio and explain the significancePart 2: What is clinically happening to the patient?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?
- 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…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?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 nerveCase 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…Briefly explain 8 ways to prevent asthma attack