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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Give answers for 1,2,3, 4 and 5 please.
![Case Study #2
J.T, a 68-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 his
house just minutes later found him unconscious. Upon arrival at the Emergency Room, J.T.
regained consciousness, complaining of continued chest pan.
Physical Exam
Test
Normal values
120/80
60-100 bpm
12-18 breaths/min
J.T's values
85/50
145 bpm
Heart rate
Respiratory rate
Temperature
32 breaths/min
00.2 F
• His breathing was rapid (tachypnea) and labored. his pulse was rapid and weak everywhere,
and his skin was cold and cammy. An EKG was done. revealing Significant "Q" waves in most
of the leads. Blood testing revealed marked'y elevated cardiac troponin levels.
Questions:
1. What is the primary diagnosia of JT's condition? What evidence supports your diagnosis?
Next, arterial blood was sampled and revealed the following:
Arterial Blood Gas (ABG) and Serum Lactate analysis
Test
Normal values
PH
PCO,
JT's values
7.02
21 mm Hg
735-7.45
35-45 mm Hg
pO.
80-100 mm Hg
65 mm Hg.
88%6
[HCO.]
Arterial lactate
22-26 meg liter
8 meg /Iter
8.4 mmol./ liter.
<2 mmol / liter
2. How would you classify his acid-base status?
Respiratory Aciooals/Reapiratory Alkalcaiz /Metaconc Aciodosie/Metaboic Alkalosis](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2F1c67637e-2807-4a1f-9ef5-4ec628fda823%2Fc19382b9-3e9e-4d36-98aa-a9d15366f2c4%2Fsoseh8r_processed.jpeg&w=3840&q=75)
Transcribed Image Text:Case Study #2
J.T, a 68-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 his
house just minutes later found him unconscious. Upon arrival at the Emergency Room, J.T.
regained consciousness, complaining of continued chest pan.
Physical Exam
Test
Normal values
120/80
60-100 bpm
12-18 breaths/min
J.T's values
85/50
145 bpm
Heart rate
Respiratory rate
Temperature
32 breaths/min
00.2 F
• His breathing was rapid (tachypnea) and labored. his pulse was rapid and weak everywhere,
and his skin was cold and cammy. An EKG was done. revealing Significant "Q" waves in most
of the leads. Blood testing revealed marked'y elevated cardiac troponin levels.
Questions:
1. What is the primary diagnosia of JT's condition? What evidence supports your diagnosis?
Next, arterial blood was sampled and revealed the following:
Arterial Blood Gas (ABG) and Serum Lactate analysis
Test
Normal values
PH
PCO,
JT's values
7.02
21 mm Hg
735-7.45
35-45 mm Hg
pO.
80-100 mm Hg
65 mm Hg.
88%6
[HCO.]
Arterial lactate
22-26 meg liter
8 meg /Iter
8.4 mmol./ liter.
<2 mmol / liter
2. How would you classify his acid-base status?
Respiratory Aciooals/Reapiratory Alkalcaiz /Metaconc Aciodosie/Metaboic Alkalosis
Transcribed Image Text:3.
3. ExamineJ.T.'s arterial lactate levels. How wouldJ.T.s oondition causes the observed
change in his arterial lactate levels? How might this change in lactate levels contribute to
his acid-base disturbance?
4. How has his body started to compensate for this acd-base disturbance? How would this
change help alleviate his acid-base imbalance?
5. In the emergency room,J.T. received an IV to treat his acid-base disturbance. What type of
IV would be ased? Explain how this IVwould help restone acid-base balance.
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