You take the vital signs for a client who does not appear to be in any distress and denies complaints of pain or shortness of breath. His oxygen saturation is 87% on room air. You see in his previously charted vitals that the saturation was 86%. You have two other clients who have requested your attention, including one who has been waiting for a shower. What will you do next

You take the vital signs for a client who does not appear to be in any distress and denies complaints of pain or shortness of breath. His oxygen saturation is 87% on room air. You see in his previously charted vitals that the saturation was 86%. You have two other clients who have requested your attention, including one who has been waiting for a shower. What will you do next

Biomedical Instrumentation Systems

1st Edition

ISBN:9781133478294

Author:Chatterjee

Publisher:Chatterjee

Chapter11: Instrumentation In Respiration

Section: Chapter Questions

Problem 5Q

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A nurse is caring for a client who presented to the emergency department with an acute asthma exacerbation. The respiratory rate is 36 breaths/min, and a pulse oximeter is 85% on room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, PaO2: 75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest priority? A) Administer bronchodilators B) Administer sodium bicarbonate Administer methylprednisolone (D) Perform a chest x-ray
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You measure the vital signs for Mr. Yazdani, a client you are caring for. His oxygen saturation is 87% on room air. Mr. Yazdani does not appear to be in any distress and denies having any pain or shortness of breath. You see in his previously charted vitals that the saturation was 86%. You have two other clients who require your attention, including one who has been waiting for a shower. What will you do next?
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A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, pale extremities? C. What forms of hypovolemic shock may have been present in this patient? Why?
A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions A. What are the four major pathophysiologic causes of shock? Which was likely in this patient? B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, paleextremities? C. What forms of hypovolemic shock may have been present in this patient? Why?
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