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. ABG results on a 24% venturi mask are: pH 7.32 P a CO 2 62 mmHg P a O 2 50 mmHg HCO 3 30 mEq/l S a O 2 85% BE +5 Hb 13g/dl ETCO2 30 mmHg P B 740 mmHg Part 1: Interpret the ABG Part 2: Calculate Mrs. G’s PaO2 and A-a gradient.
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. ABG results on a 24% venturi mask are: pH 7.32 P a CO 2 62 mmHg P a O 2 50 mmHg HCO 3 30 mEq/l S a O 2 85% BE +5 Hb 13g/dl ETCO2 30 mmHg P B 740 mmHg Part 1: Interpret the ABG Part 2: Calculate Mrs. G’s PaO2 and A-a gradient.
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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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.
ABG results on a 24% venturi mask are:
pH 7.32
P a CO 2 62 mmHg
P a O 2 50 mmHg
HCO 3 30 mEq/l
S a O 2 85%
BE +5
Hb 13g/dl
ETCO2 30 mmHg
P B 740 mmHg
Part 1: Interpret the ABG
Part 2: Calculate Mrs. G’s PaO2 and A-a gradient.
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