Shawn is a 43-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. Shawn's girlfriend drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. Shawn was unable to lie down and began to use accessory muscles to breathe. Shawn is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. Shawn appears anxious and says that he is short of breath. Vital signs (VS) BP = 152/84                        HR = 124 bpm                    RR = 42 Temp = 100.40F Arterial Blood Gases (ABGs) pH = 7.31                             PaCO2 = 48                          HCO3 = 26            PaO2 = 55 What type of asthma do you think Shawn has? Why?

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
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Shawn is a 43-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. Shawn's girlfriend drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. Shawn was unable to lie down and began to use accessory muscles to breathe. Shawn is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. Shawn appears anxious and says that he is short of breath.

Vital signs (VS)

BP = 152/84                        HR = 124 bpm                    RR = 42 Temp = 100.40F

Arterial Blood Gases (ABGs)

pH = 7.31                             PaCO2 = 48                          HCO3 = 26            PaO2 = 55

  1. What type of asthma do you think Shawn has? Why?

 

 

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