HEALTHCARE
RES241 Advanced Ventilation.docx

No upon assessment of the patient her lungs sound

Info icon This preview shows pages 2–5. Sign up to view the full content.

No, upon assessment of the patient her lungs sound clear, she has no shortness of breath, and there is no evidence of respiratory distress at this time.
Image of page 2

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

WEEK 4 ASSIGNMENT 3 Question #2 Does the patient's medical problem predispose her to the development of ARDS? Yes, the patient has an IUD which has the potential of developing a bacterial infection which can lead to sepsis. Sepsis is one of the most common causes of ARDS and accounts for almost 30% of cases (Mungra 2007). Ms. Y has been started on IV antibiotic therapy. Results of a uterine swab show gram- negative diplococci, and a preliminary blood culture also shows gram-negative cocci. Twelve hours later, she begins complaining of increased shortness of breath. Assessment: RR 34 bpm; HR 120/min She is using accessory muscles to breathe and chest auscultation now reveals fine, inspiratory crackles bilaterally. ABG: on RA -pH: 7.25 -PaCO2: 21 mmHg -HCO3: 16 mEq/liter -BE: -17 -PaO2: 62 mmHg -SaO2: 88% Question #1 What is the pt's acid-base & oxygenation status? Interpret the blood gas and explain your answer. The patient’s pH is low meaning acidotic, PaCO2 is low meaning alkalotic, HCO3 is low meaning acidotic. The PaO2 is also low. My interpretation of this ABG would be partial compensated metabolic acidosis with mild hypoxemia (McNeily 2015).
Image of page 3
WEEK 4 ASSIGNMENT 4 Question #2 What pathophysiology accounts for the adventitious lungs sounds (fine, inspiratory crackles)?
Image of page 4

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

Image of page 5
This is the end of the preview. Sign up to access the rest of the document.
  • Fall '18
  • Tim Dunkley
  • Respiratory distress, Acute respiratory distress syndrome

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern