State and explain the rationale for differences in "Blood gas analysis" for adult vs pediatric.
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State and explain the rationale for differences in "Blood gas analysis" for adult vs pediatric.
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- Scenario: After three days of mechanical ventilation, the client's interdisciplinary healthcare team decides to perform a ventilator weaning trial. After 30 minutes, assessment findings indicate that the client is tolerating the process well. The weaning trial is continued for an additional 90 minutes at which time an ABG is drawn and vital signs are reevaluated. For each assessment finding, use an X to indicate whether the finding is supportive of Extubation or Resuming mechanical ventilation. Provide a rationale for each choice. Assessment finding Extubation Resuming mechanical ventilation Rationale Ph 7.38 Blood pressure 120/76 mm Hg SaO2,90%. PaCO2, 43 mm Hg PaO2, 48 mm Hg Heart rate: 120 bpm HCO3-, 24 mEq/LDescribe how spirometry is used to distinguish between obstructive and restrictive pulmonary diseases.1) What is the GCS scale, and why is it important?
- N. Looking ahead (while there is still time), here is the "Oxyhemoglobin dissociation curve." It relates the % saturation of hemoglobin directly to the Poz of its surroundings. Not coincidentally, a third axis relates ml oxygen/100 ml blood directly to the % saturation. 100 20 Percent oxyhemoglobin saturation 80 60 40 20 0 0 20 ! Veins (at rest) ✓ 60 PO₂ (mmHg) 40 Arteries 80 100 155 10 5 O Oxygen content Amount of O₂ unloaded to tissues (pooյզ լա 00l/70 լա) 1) If 15 mL oxygen/100 ml gives a 75% hemoglobin saturation, then approximately how many ml of oxygen/100 ml blood corresponds to a 70% hemoglobin saturation? 2) Approximately, how many ml of oxygen/100 ml is needed to give 50% hemoglobin saturation? 3) Approximately, how many ml of oxygen/100 ml is needed to give 30% hemoglobin saturation?Category: Physiological Adaptation The nurse is monitoring a 78-year-old male patient who has experienced a significant cerebrovascular accident resulting in extensive brain damage. During a comprehensive evaluation, the nurse observes the patient’s respiratory pattern and identifies a cycle of respirations that increase and decrease in depth and rate, culminating in periods where breathing temporarily ceases. This observation is most consistent with which of the following descriptions? A. Progressively deeper breaths followed by shallower breaths with apneic periods. B. Rapid, deep breathing with abrupt pauses between each breath. C. Rapid, deep breathing and irregular breathing without pauses. D. Shallow breathing with an increased respiratory rate.Identify at least 5 developmental differences in a child that make them more susceptible to respiratory distress than an adult.