Case Study #2 J.T., a 08-year-old man complained of severe chest pains that radiate down the inside of his left arm. Shortly afterward, he collapsed on the bedroom room floor. Paramedics arriving at hi house just minutes later found him unconscious. Upon arrival at the Emergency Room, J.T. regained consciousness, complaining of continued chest pain. Physical Exam his vital signs were as follows: Test Normal values 120/80 60-100 bpm J.T.'s values 85/50 Systemic blood pressure Heart rate Respiratory rate Temperature 145 bpm 32 breaths/min 09.2 F 12-18 breaths/min 08 6 F His breathing was rapid (tachnypnea) and labored, his pulse was rapid and weak everywhere, and his skin was cold and ciammy. An EKG was done, revealing significant "Q" waves in mos of the leads. Blood testing revealed markedly elevated cardiac troponin levels. Questions. 1. What is the primary diagnosis of JT's condition? What evidence supports your diagnosis? Next, arteral blood was sampled and revealed the fol owing: Arterial Blood Gas (ABG) and Serum Lactate analysis Test pH PCO, PO. Hemoglobin - O, saturation [HCO.] Normal values JT's values 7.35-7.45 7.02 35-45 mm Hg 21 mm Hg 80-100 mm Hg >95% 88% 22-26 meg/ liter 8 meg /liter 8.4 mmcl /liter Arterial lactate <2 mmol/liter 2. How would you classify his acid-base status? Reepiratory Aciooals/Reapiratory Alkalosiz/Meraboic Acidosia/Metaboic Alkalosis
Case Study #2 J.T., a 08-year-old man complained of severe chest pains that radiate down the inside of his left arm. Shortly afterward, he collapsed on the bedroom room floor. Paramedics arriving at hi house just minutes later found him unconscious. Upon arrival at the Emergency Room, J.T. regained consciousness, complaining of continued chest pain. Physical Exam his vital signs were as follows: Test Normal values 120/80 60-100 bpm J.T.'s values 85/50 Systemic blood pressure Heart rate Respiratory rate Temperature 145 bpm 32 breaths/min 09.2 F 12-18 breaths/min 08 6 F His breathing was rapid (tachnypnea) and labored, his pulse was rapid and weak everywhere, and his skin was cold and ciammy. An EKG was done, revealing significant "Q" waves in mos of the leads. Blood testing revealed markedly elevated cardiac troponin levels. Questions. 1. What is the primary diagnosis of JT's condition? What evidence supports your diagnosis? Next, arteral blood was sampled and revealed the fol owing: Arterial Blood Gas (ABG) and Serum Lactate analysis Test pH PCO, PO. Hemoglobin - O, saturation [HCO.] Normal values JT's values 7.35-7.45 7.02 35-45 mm Hg 21 mm Hg 80-100 mm Hg >95% 88% 22-26 meg/ liter 8 meg /liter 8.4 mmcl /liter Arterial lactate <2 mmol/liter 2. How would you classify his acid-base status? Reepiratory Aciooals/Reapiratory Alkalosiz/Meraboic Acidosia/Metaboic Alkalosis
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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