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Patient Information: Name: Emma Green Age: 3 years old Gender: Female Medical History: Asthma, eczema Current Medications: Albuterol inhaler as needed, topical corticosteroids for eczema Presenting Symptoms: Increased work of breathing and wheezing over the past 2 days Inability to tolerate oral intake Lethargy and irritability Initial Assessment: Vital Signs: Temperature: 37.8°C (100°F) Heart Rate: 130 bpm Respiratory Rate: 40 breaths per minute Blood Pressure: 90/60 mmHg Oxygen Saturation: 90% on room air ABG Results: pH: 7.25 PaCO2: 60 mmHg HCO3-: 26 mEq/L PaO2: 65 mmHg SaO2: 90% Additional Lab Results: White Blood Cell (WBC) count: 12,000/µL (normal: 4,000-11,000/µL) Hemoglobin: 12 g/dL (normal: 11.5-15.5 g/dL) Blood Glucose: 100 mg/dL (normal: 70-110 mg/dL) Chest X-ray: Hyperinflation of the lungs with bilateral peribronchial thickening, consistent with asthma exacerbation. Diagnosis: Acute asthma exacerbation with respiratory acidosis Assignment Questions ABG Interpretation: Interpret the ABG results provided. Identify the primary acid-base imbalance and any compensatory mechanisms. Pathophysiology: Explain the pathophysiological changes in asthma that lead to the observed ABG results. Discuss how the severity of asthma exacerbation can impact gas exchange and acid-base balance. Clinical Manifestations: Describe the clinical manifestations of respiratory acidosis in pediatric patients. Explain the significance of Emma's symptoms in relation to.
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