acid1 ACO₂-Case #4Dillon is a 55 lb., 6-year-old male who fell into a fresh water lake while duck huntingwith his father. Dillon was unaccounted for 15-20 minutes until his body was foundfloating face down in the water. He was immediately pulled out and basic life supportwas started. Upon arrival at the hospital, his ABG results were as follows: pH = 6.90;P₂O₂ = 49 mmHg; PCO₂ = 54 mmHg; and HCO3 = 24 mEq/L.acidnorm1. What is Dillon's acid-base disturbance?normтрог HCO32. What is the specific cause of his acid-base disturbance? Explain your answer.3. In the hospital, ventilatory support is provided with PEEP (positive end-expiratory pressure) and Dillon's latest ABG are: PO2 = 88 mmHg, CO₂ = 38mmHg, HCO3- = 10 mE/L, pH = 6.99. What would you attribute his currentacid/base status to? Explain.4. The doctors order a continuous ECG monitor and a blood chemistry panel toevaluate Dillon's serum electrolyte levels. The doctor explains to the criticalcare nurse that he is concerned about a redistribution or transmembrane shiftof electrolytes. Which particular electrolyte is the doctor most concernedabout and how would that affect Dillon's cardiac function?alkрогФонPCO₂ TpHalkфен

Case #4Dillon is a 55 lb., 6-year-old male who fell into a fresh water lake while duck hunting with…

Answered: Case #4 Dillon is a 55 lb., 6-year-old…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Please answer the last part Rate of volume change (ml/hr)
A 36-year-old man with a history of AIDS and Pneumocystis infection presents to the emergency department with severe respiratory distress. The patient is placed on a ventilator at a rate of 16, tidal volume of 600mL, and FIO2 of 0. An arterial blood sample taken 20 minutes later reveals a PO2 of 350 mmHg, a PCO2 of 36 mmHg and a pH of 7.32. At a barometric pressure of 757 mmHg and assuming normal respiratory exchange ratio (R) of 0.8, the patient’s alveolar oxygen tension is approximately which of the following in mmHg 576 355 665 105 712
1) Identify the lab value of Marcelo's arterial carbon dioxide levels in mmHg. Only type in numbers, no letters. Type out your answer to zero places after the decimal point (i.e 23) pH = 7.55 HCO3- = 60 mEq 2) Marcelo's condition is determined to be: 3 answers required: respiratory or metabolic acidosis or alkalosis uncompensated or partial compensation Group of answer choices respiratory metabolic acidosis alkalosis uncompensated partial compensation
A 62-year-old man was brought to the emergency room by his son, who reported that the man(documented diabetes) had been eating poorly for 2 days and difficult to arouse that morning. On exam: The patient would open his eyes and mumble incoherently in response to pain.T:38.6°C, BP 75/40mmHg, H R 124/min, his skin was warm. Lab data: WBC 19.5x109/L (Normal:4-10x109/L), oliguria, cloudy urine. Blood was sent for culture.Q1: What are the three major pathophysiologic causes of shock? Which one is the likely pathophysiologic cause of shock in this patient? Why?Q2.What pathogenic mechanism accounts for this patient's sarcoma?Q3.Which kind of shock occurred in the patient according to causes?
An infant who weighs 6kg requires a morphine infusion at 20 microgram/kg/hour as prescribed by the consultant on the ward. The patient was prescribed 6 mg of morphine in 50 mL of 0.9% w/v sodium chloride. What rate in mL/h should the infusion should be administered in order to achieve the prescribed dose?
A nurse has a patient who she suspects might have long term respiratory acidosis. Which of the following pieces of information would support her suspicion? 1.An acidic pH and a decrease in Pco2 2. An alkaline (or basic) pH and an increase in Pco2 3. An acidic pH and an increase in Pco2 4. Hyperventilation 5. Hypoventilation 6. Increased plasma HCO3 7. Decreased plasma HCO3 O 1,4, 6 O 2, 5, 6 O 3, 5, 6 O 1, 5, 7 O 3, 4, 6
Order: Zosyn 0.04 gm/kg add to 150 cc NS IVPB (12 gtts/mL) to run over 45 minutes Supply 600 mg/mL Patient weighs 205 lbs What is the medication dose for this patient in mg?
Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGs]: pH = 7.13, PaCO2 = 35 mmHg, HCO3- = 16 mEq/L, PaO2 = 89 mmHg, and oxygen saturation = 94%.
The physician ordered D5 IMB ½ Liter to a 4 year-old male patient to infused over 10 hours. Compute for flow rate Compute for cc/hr
Two twins with identical physiology, biochemistry, weight and height are exposed to a total of 5 mg/day of chemically identical airborne particulate matter (PM), containing PAHs and heavy metals. This exposure occurs for 2 years. Twin A is predominantly exposed to PM10 while Twin B is predominantly exposed to PM2.5. Both twins will experience identical chronic toxicity because both had the same total dose - True of False. Please type answer note write by hend.
James Dunn is a 40-year-old African American man. He presents to the physician’s office today complaining of headache. His vital signs during triage are as follows: blood pressure 165/90 mm Hg, heart rate 80 beats/minute, temperature 98.5F, weight 125 kg (275 lb), and height 5 ft 11 in. He currently has no other diagnosed medical conditions. The physician gives Mr. Dunn a prescription for lisinopril/hydrochlorothiazide (Prinzide) 10/12.5 mg with directions to take one tablet by mouth daily in the morning. (Learning Objectives 1, 3, 4, 8) 1. In which stage of hypertension would you place Mr. Dunn? 2. What lifestyle modifications should Mr. Dunn be encouraged to follow? 3. What class of antihypertensive is lisinopril/hydrochlorothiazide? 4. What would you tell Mr. Dunn about his new medication?
Mrs. Johnson, a 78-year-old woman with a history of hypertension and type 2 diabetes, was admitted to the hospital with symptoms of congestive heart failure. Her current medications include Metformin, Lisinopril, and Furosemide. As her primary nurse, you notice she has been increasingly short of breath and has a 3-pound weight gain since her last weigh-in two days ago. Her current vital signs are BP 160/90 mmHg, HR 88 bpm, RR 22 breaths/min, and SpO2 92% on room air. Options: a) Increase her dose of Furosemide. b) Administer supplemental oxygen and reassess her vital signs. c) Monitor her condition without intervention. d) Restrict her fluid and sodium intake immediately.

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