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 is on 24% venturi mask. Mrs. G's ABG results indicate respiratory acidosis,

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 is on 24% venturi mask. Mrs. G's ABG results indicate respiratory acidosis,

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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?
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Please need help with this question .
You would expect an individual with emphysema to demonstrate which of the following? 1. lowered arterial pH (more acidic arterial blood) 2. lowered arterial dissolved oxygen (less oxygen dissolved in the plasma - low PO2 value) 3. higher lung compliance 4. lowered FEV1/FVC ratio or percentage Choose from the following: (A) 1 only (B) 1 and 2 (C) 2 and 3 (D) 2 and 4 (E) 3 and 4 (F) 1, 3 and 4 (G) 1, 2, 3, and 4
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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?
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