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A patient with asthma has elevated pCO2 and HCO3- levels and a decreased pH. This person has
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- Hypervitaminosis is largely attributed to which of the following? Restrictive diets Gastric bypass surgery Alcoholism SupplementationIn this case, a 72-year-old man with a medical history that includes hypertension, type 2 diabetes, coronary artery disease with stent implantation, and congestive heart failure is hospitalized for dyspnea while at rest. Despite salt restriction and diuretics, he continued to have swelling in his legs for four weeks. His L ejection fraction (EF) is 40 percent, which is excellent. Humalog (75/25) 20 units QD, furosemide 40 mg BID, metolazone 2.5 mg QD, spironolactone 12.5 mg QD, carvedilol 12.5 mg BID, ramipril 10 mg QD, atorvastatin 40 mg QD, clopidogrel 75 mg QD, and aspirin 81 mg QD are among the medications prescribed. The patient's blood pressure was 100/60 mmHg, his pulse was 102 beats/min, he had JVD, crackles, an S3, a positive hepatojugular reflex, and pitting edema that reached his knees. Na+ concentrations were 134 mEq/L, K+ concentrations were 3.8 mEq/L, Cl concentrations were 90 mEq/L, HCO3 concentrations were 28 mEq/L, BUN concentrations were 46 mg/dL, creatinine…Bertha is an Indigenous elder who was recovering from abdominal surgery. She has been working with physiotherapists to ensure that she does not lose strength before being discharged from hospital. Today she has a session with the physiotherapists. Before taking Bertha to the gym, a set of vital signs were collected before she gets out of bed. Results are: RR 14 bpm, SpO2 98%, BP 130/70 mmHg, HR 74 bpm. The nurse tells the physios that Bertha is well and has no cardiovascular or respiratory diseases. The physios take her to the gym, where she undertook some exercises under their direction. After the first round of exercises, they check her vital signs again. Her respiratory rate is now 20 bpm, SpO2 is 100%, BP is 140/80 mmHg, and HR is 90 bpm. She is observed to be breathing deeply and using accessory muscles. 1. Explain the physiological mechanisms which have caused Bertha's respiratory rate to change during exercise. Demonstrated detailed and well-developed knowledge of the…
- rogress Which of the following is the base component of the blood buffer? H₂CO3 OHCO3 O H₂PO4 H₂PO4 Q Search 新鮮 "de %6 5 to A- C "4+ 6 a hp &Bertha is an Indigenous elder who was recovering from abdominal surgery. She has been working with physiotherapists to ensure that she does not lose strength before being discharged from hospital. Today she has a session with the physiotherapists. Before taking Bertha to the gym, a set of vital signs were collected before she gets out of bed. Results are: RR 14 bpm, SpO2 98%, BP 130/70 mmHg, HR 74 bpm. The nurse tells the physios that Bertha is well and has no cardiovascular or respiratory diseases. The physios take her to the gym, where she undertook some exercises under their direction. After the first round of exercises, they check her vital signs again. Her respiratory rate is now 20 bpm, SpO2 is 100%, BP is 140/80 mmHg, and HR is 90 bpm. She is observed to be breathing deeply and using accessory muscles. QUESTION : Would you expect Bertha's arterial pH levels to change during her exercise? Explain why or why not? (suggested 150 words) Demonstrate detailed and…A 42 year old man is admitted to the hospital with the sudden onset of dyspnea with clear lungs and a normal chest xray. He has just been on a flight from Australia to New York City. The blood gas values are as follows: pH 7.56, pCO2 16, pO2 80, 95% saturation What is this person’s A-a gradient?
- Scenario 1 Your patient C.Sis 78 years old. Admitted to the mursing home you work at, with a diagnosis of dehydration CS. has been ordered to increase her oral fluid intake to 2500cc per day. When offering her a glass of water, she pushes away your hand and says, "I hate water and I don't drink it much". You note that after one and a half days she has dry mucous membranes and poor skin turgor Questions 1. What should your assessment be on this patient? Explain in detail. 2. After completing your assessment, what should your next step be? Be specific. 3. Write 3 complete nursing diagnosis from above information. Include all 3 sections (NANDA, related to (R/T) & Evidence based practice (EBP) & include 2 nursing interventions for each nursing diagnosisYou have the following prescription: Prednisone 5mg Quantity: CLXIV 5 tabs po qd x4 d, taper down by one tablet every 5 d for 15 d then ss po qd. How many tablets should you dispense?Mr GB has been receiving ranitidine 50 mg q8h IV whilst in hospital. He is being discharged and will be switched to oral ranitidine 15 mg/mL liquid. The oral liquid is 50% bioavailable, and has been prescribed as a BD dose. How many mL of ranitidine liquid should Mr GB receive each day?
- Risk for hyperthermia aeb high body temperature and increased respiratory rate.What is the evaluation of this case scenario to this patient diagnosis?A patient is hyperventilating. The "blowing off" of excessive carbon dioxide causes a decrease in blood H+ concentration. How can the carbonic acid buffering system function to correct this imbalance? CO2 + H2O → H2CO3 → H* + HCO3 O H2CO3 dissociates to form more H+ and raise pH. O HCO3- binds with H+ to form H2CO3 and raise pH. O H2CO3 dissociates to form more H+ and lower pH. O HCO3- binds with H+ to form H2CO3 and lower pH. O none of the aboveA 42 year old man is admitted to the hospital with the sudden onset of dyspnea with clear lungs and a normal chest xray. He has just been on a flight from Australia to New York City. The blood gas values are as follows: pH 7.56, pCO2 16, pO2 80, 95% saturation What is this person’s A-a gradient?
