Question

ABG results show: Pa02 68 mm Hg, PaC02 32 mm Hg, HCO3-21 mEa/L, and pH 7.53 What do these values suggest? 1. 2· The patient temporarily responds to the high-flow oxygen therapy, but later the nurse notes that the patient demonstrates hyperpnea, grunting respiration, cyanosis, pallor, and intercostal and substernal retractions, with a change in mental status. The nurse suspects ARDS and calls the physician to obtain an order for which primary laboratory study used to establish this diagnosis? a The patient is placed on a respirator with positive end-expiratory pressure (PEEP) Why is PEEP necessary? b. Explain the rationale for the use of corticosteroids and antibiotics in the management of the patient with ARDS 73. A38-year-old female patient retumed to the postanesthesia recovery unit (PACU) 2 hours ago after undergoing a tubal ligation by colposcopy (through the back wall of the vagina behind the cervix). Her last documented vital signs, taken 30 minutes ago, were blood pressure, 102/80 mm Hg, pulse, 88 beats/min, and respirations, 22 breaths/min. The nurse now notes that her face is pale and the skin around her lips has a bluish cast. She reports some back pain Her vital signs are now blood pressure, 90/76 mm Hg, pulse, 98 beats/min, and respirations, 28 breaths/min a What additional assessment data would the nurse want to obtain? b. Where would the nurse look for the hemorrhage? c. Given these findings, which actions would be priority actions for the nurse? d. What expected outcomes would be specific to this situation?

Answer 1

1) The patient is experiencing Respiratory Alkolosis

( Increased pH means alkolosis ,decreased PaCo2 suggestive of something relayed to respiration)

2)PEEP increases the functional residual capacity thereby improving the oxygenation. They prevent alveolar collapse by maintaining gas exchange during expiration even with low oxygen inspiration.

The corticosteroid is used to treat the inflammatory process and antibiotics to prevent infections

3)a,The oxygen saturation of the patient to be assessed as she has bliush cast

Any bleeding at surgical site

Severe pain

b,The should look for hemorrhage at vaginal area

c,Administration of oxygen to maintain saturation

Administration of IV fluid to increase BP

d,The expected outcome will be improvement in Blood pressure of the patient.