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What are 3 interventions with rationale for a patient with impaired gas exchange due to lung cancer.
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- What are 3 interventions with rationale for a patient with impaired gas exchange due to lung cancer. How would you evaluate itWhat are nursing goals for a patient with impaired gas exchange due to lung cancer69 y/o male with history of COPD. He has productive cough with a thick yellow sputum. CXR showed clear lung fields bilaterally with depressed diaphragm. Respiratory rate 38/min. ABG at normal atmospheric air: PaCO2 = 78 mmHg, PaO2 = 53 mmHg, SaO2 = 87%. What type of respiratory failure is he suffering from? What are the effects of respiratory failure on the cardiovascular system?
- IV. Guide Questions: 1. Why is it important that the trachea be reinforced with cartilaginous ring? What is the advantage of the fact that the rings are incomplete posteriorly? 2. Where in the respiratory tract is the air filtered, warmed and moistened? 3. In terms of general health, what is the importance of the fact that the phargyngotympanic tubes and sinus drain into the nasal cavities and nasal pharynx? 4. What is the major way of that oxygen is transported in the blood? 5. Name three physical factors that can modify respiratory system rate or depth? V. Generalization:The Therapeutic Effects of Continuous Positive Airway Pressure (CPAP) in Obstructive Sleep Apnea?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.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.Describe the clinical observations involved in a comprehensive respiratory assessment. Include a minimum of 5 points.
- The administration of oxygen at increased ambient pressures is now being used routinely to treat a variety of pathologic conditions. True or false?Discuss oxygen toxicity risk in patients with COPDC.M. is a 69-year-old female who presents to the emergency department with shortness of breath. Subjective data: PMH: HTN, hypothyroid Sudden onset shortness of breath Denies chest pain but reports chest tightness and cough Current smoker, 1 pack a day for 50 years Objective data: Vital signs: T 37 C, P 92, R 18, BP 144/64 Lungs: + inspirational wheeze upper and lower lobes, bilaterally O2 sat = 90% Skin cool to touch CV = heart rate regular, positive peripheral pulses Nose = + erythema, clear discharge Throat = erythema Medications: metoprolol 12.5 mg per day, Synthroid 0.50 mcg once per day Questions What other questions should the nurse ask about the shortness of breath? What other assessments are necessary for this patient? What are some of the causes of shortness of breath? Develop a problem list from objective and subjective data. What should be included in the plan of care? What risk factors are associated with this age group? Based on the readings, what is the most…