A 50-year-old man came to the emergency department after returning from foreign travel. His symptoms included persistent diarrhea over the past 3 days and rapid respirations (tachypnea). Blood sample for blood gas analysis was drawn with the following results: Her results were: pH 7.31 pCO2 27mm Hg pO2 62 mmHg HCO3- 12mmol/L SO2 78% Questions What is the patient's acid-base status? 2. Why is the HCO3– level low? 3. Why does the patient have rapid respirations?
A 50-year-old man came to the emergency department after returning from foreign travel. His symptoms included...
A 35-year-old female came to the emergency room with severe stomach cramps and diarrhea that had lasted 3 days. She had been drinking Sprite but had not eaten anything. Her breathing was rapid. Suspecting food poisoning the doctor ordered a culture, a serum electrolyte panel and acid-base panel on an arterial sample. pH 7.21 pCO2 19 mm Hg pO2 96 mm Hg HCO3 7 mmol/L 1. Based on the findings would you expect the Cl levels to be increased, decreased...
Jerry, a 53 year old man, comes into the emergency room with severe shortness of breath. His wife indicated that he has been a smoking a pack a day since he was 16. He has had shortness of breath over the past few years when he has been when working, and when playing football with the kids. He has recently noticed that he is experiencing shortness of breath, even when watching TV. He has no documented medical conditions. Glucose 92...
A 30-year-old male patient came to the emergency room with symptoms of severe weakness and dehydration. The nurse interviewed the patient and the nurse learned that the patient had been vomiting for four days. The patient stated, “I think I ate something bad in the party that I attended.” During the admission assessment, the vital signs of the patients are: temperature = 39 degrees Celsius, pulse rate = 116 bpm, respiratory rate = 18 breaths/min, and BP = 86/54 mm...
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...
subject: medical Surgical.
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts...
Mr. P. F., a 68-year-old man, is admitted to the medical intensive care unit from the emergency department with respiratory failure and hypotension. His history is significant for type 2 diabetes mellitus, steroid-dependent chronic obstructive pulmonary disease, peripheral vascular disease, and cigarette and alcohol abuse. His medications at home include glipizide, prednisone, and Combivent. In the emergency department he received a single dose of ceftriaxone and etomidate for intubation. On medical examination he is intubated, on pressure-controlled ventilation, and receiving...
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9. The patient is a 21-year-old college student brought to the emergency department by his friends when he was found unconscious during a fraternity party. He was seen drinking heavily at the party and had not eaten for 2 days before the event. He takes no prescription drugs, and his current vital signs are: T = 97.8°F; P = 48, slightly irregular and thready: R=28, deep and regular; BP = 88/50. His current...
Albert, a seventy-two year old African-American man, is brought into the emergency room by his daughter. Approximately 45 minutes before arriving, Albert dropped his book when his right arm and hand "fell asleep". When he tried to rise, he noticed his right leg was weak and he needed to hold onto the couch to stand up. He had a difficult time talking because the right side of his face and mouth were "numb" and his tongue felt "thick". In obtaining...
Case Study 1 Introduction Bob, a 53-year-old caucasian man, arrives at the emergency department accompanied by his friend, complaining of increasing difficulty breathing and productive cough with green sputum. His friend says he dropped in to visit Bob, who lives alone, and found him sitting up on the edge of his bed, unable to breathe and seemed quite confused. When he last saw Bob 4 days ago, he says he had a cough and a temperature for which he has...