Question

The patient has Acute Respiratory Failure, has a tracheostomy and is connected to mechanical ventilation, and receiving enteral feeding. Interpretate the High or Low & Cause of Abnormal Values. Discuss the Trend (worse or improving)? What was or is the expected treatment/nursing actions needed to improve abnormal value?

WBC 4.6-10.2	14.8 K	18.9 K	13.0 K
RBC F: 3.8-5.1 M: 4.3-5.7	3.4	3.38	3.32
HGB F: 12-16 M: 13.5-17.5	10.1	9.9	10.0
Blood Glucose 70-99	119	142	160
BUN 8-20	34	41	38
Mg 1.8-2.5	3.7	1.9	1.8
ABG- pH 7.35-7.45	7.52	Labs were not taken	Labs were not taken
ABG- CO2 35-45	31	Labs were not taken	Labs were not taken
ABG- O2 80-100	114	Labs were not taken	Labs were not taken

Answer 1

AS WBC 14 8K 18.9K 13.0k WBC count was High will count of above the normal A more than 11,000 (4.6.102) range. There is high increase on cello per ut means 4. the day 2 than day ! pabent i more I prone for infectious. Especially when the no. of ventilation dans increases the apok for ventilator assou a -ated infections tor) complications inercares. WIRE Count, fever are Markers for it. so as number of ventila- -for days increaser Whe count should be monitored carefully. 3.32 3.8 RB C F: 3.8-54 M: 4.3-17 3.4 range. RBc count is low May lead to failure of (as) below the normal aberation from the Mechanical ventilation & trisk of death if, HoL 9 g/dl. may need Meintubation. The role of packet Ret transfusi- on is under controver- -Sy low hemoglobin Anemia ir common levels than the problem in pes with Mechanical ventilation, I 10:0 101 HGB normal range low the levels decrease F. 12-16 M: 18.5-4.5 arterial oxygen content tоmрrе wire oхүЯ! delivery and in trease respiratory muscle load. Mild anemia

seldom needs transfusion- Hb A gld neede RBC packet transfucion. But seldom there is risk of transfusion Melated adverse events in ventilator parents. so the hole of Holes on weaning outcomes of mechanied ventilated pahente still under the debate. 160 142 119 Blood glucose 70-99 Blood glucose Hyperglycemie is often levels are high acouated with increase ahove the norwald vier of infechone. range. It ie in so optimization of hyperglycemia carbohydrate content and administration of inculin infusion and insulin addition to nutrition bagare effective approaches to control hypergly comia 38. BUN 41 nr 34 8-20 Above the mormal Acute kidney injury reference range. IAKI) is major complication of mechanical ventilation due to homodynamic Yuzta be noty due to trend blood flow, syetemic release of inflammatory agentes arterial blood gases

should consult nephrologist specialists regardi -ng this. Use of dialysis, how to replace bun, evier to normal levels depends on the benefit, rlik Maho. risk of 1.8 Normal 3. * 1.9 No 4 range hyper magneval 1.8-2.1 hapo magnesia in this parent ABG PH 7.52 7.35-9.45 ARG - (02 lange 35-45 labe not labs were Abon the Respiratory Result is increased taron not taken normal allcalorie ventilation. Incorrect lange of mechanical renklakon > 44. settings. may be asconated with the alveolar hyperrenklar tion lettinge, check labs were labs were less than Reoperatory for Po levels. If not talen not falun normal alleatoris. че аute abnormally high, may include chantee of the Cope ubout м, и ее attack, infection etc. labs wee labs were Above the respiratory observe for digziness, alle alosic, loos bloating, chest not talan wat town nowmal not taun nou range of balance of discomfort, dry coz and o2 mouth, To chycardia levele due to then restrict oxygen hyperventilation intake into lungs, mearsurance, breathe into paper bag techni- ABG O2 114 80-100 i que should be followed.