Abnormal clinical or lab results, Other Subject

Assignment Help:

You are a new graduate nurse on your second rotation in a 30-bed medical ward. It is 0800hrs on your morning shift and you have been allocated the care of a 69-year-old female who has been on your ward for that last week recovering from an acute infective exacerbation of CAL.

Past Medical History: IHD and Severe CAL with Type II respiratory failure.

You are assisting the patient with breakfast and notice she has become increasing breathless, only answering in single words and not interested in eating. A set of observations are taken: SpO2 88% on NP at 2L/min , BP 160/90, HR 144, Resp rate 45 b/min and temperature 37.2. Auscultation of the lung fields reveals wide spread expiratory wheeze bilaterally.

 

Lab Results: ABG

UEC's

FBC

pH 7.33

Na 144mmol/L

Hb 155 g/L

Pa02 55 mmHg

K 4.5 mmol/L

WCC 11 x 109/L

PaC02 70 mmHg

Cl 109 mmol/L

PLT 400 x 109/L

HC03 36 mmol/L

Urea 8 mmol/L

Creat 90 μmol/L





Questions

1. Based on the information given in the (above) case study start by prioritising and justifying your immediate care of this patient?

2. You also need to interpret both clinical and lab results, and

3. What physiological processes may be responsible for the abnormal clinical or lab results?


Related Discussions:- Abnormal clinical or lab results

Health cares in rural areas, Health cares in rural areas should be well equ...

Health cares in rural areas should be well equipped with machineries such as x-rays and CT in order to be able to meet the patient's expectations. At the same time, there should be

Coronado, How would land elevation have changed if Coronado had traveled 15...

How would land elevation have changed if Coronado had traveled 150 miles due west from what is today Arizona instead of east toward new Mexico?

Library catalog, What are the importance of dictionary catalog?.

What are the importance of dictionary catalog?.

What is baroque art?, What is Baroque Art? In fine art, the term Baroqu...

What is Baroque Art? In fine art, the term Baroque (derived from the Portuguese 'barocco' meaning, 'irregular pearl or stone') define a rather complex idiom, originating in Rom

Socio-economic development., utilising practical examples from developing c...

utilising practical examples from developing countries examine the ways in which informalization of the economy can impact on a nation''s socio-economic development

Solution-focused brief therapy, Problem 1 Solution-Focused Brief Therap...

Problem 1 Solution-Focused Brief Therapy is most dissimilar in terms of underlying philosophy and assumptions with any approach which needs "working through" or intensive focu

Gallbladder and colon, The gallbladder stores and concentrates bile, and th...

The gallbladder stores and concentrates bile, and then releases it into the duodenum to help absorb and digest fats. Colon (Large Intestine) The colon is a 6-foot long musc

Mollusca, Specific characters of mollusca

Specific characters of mollusca

System Analysis and Design, Your boss, the IT manager, was ready to explode...

Your boss, the IT manager, was ready to explode. "Why can''t we get our priorities straight," he fumed. "Here we go again, working on a low-value project, just because it''s a favo

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd