What is your overall evaluation of each patient

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Reference no: EM133473239

Case Study:

Patient #1: A 76 y.o. M PMH: COPD, HTN, and T2DM was admitted an hour ago for COPD exacerbation and started on steroids and azithromycin. The patient continues to have increased work of breathing with respirations of 22 per minute, diffuse expiratory wheezing, and a heart rate of 89 beats per minute. ABG was obtained, which showed pH 7.33, PCO2 59, PO2 80, and HCO3- 25 on room air.

Patient #2: A 64 y.o. F on 3L of oxygen nasal cannula with PMH: paroxysmal afib, HFrEF, HTN, and chronic bronchitis was admitted two days ago for cholelithiasis and is post-op #0 for cholecystectomy. The patient is currently on capnography related to postoperative pain management. You see this on the patient's monitor (image below). You run to the patient's bedside and find the patient has a decreased level of consciousness. (I have attached the picture of the canography as an attached document).

Patient #3: An 89 y.o. M was admitted 3 days ago, requiring intermittent BiPAP for Pickwickian syndrome and obstructive sleep apnea. On physical examination, the patient is alert and oriented with no signs of respiratory distress. The BiPAP is currently set to an IPAP of 10 and EPAP of 5, which the patient has been on for a total of 1.5 hours. An arterial blood gas showed pH 7.29, PCO2 64, PO2 57, and HCO3- 24.

Questions

Question 1: What is your overall evaluation of each patient?

Question 2: Provide healthcare services within your scope of practice boundaries.

Question 3: How will you manage each patient?

Question 4: If oxygen therapy is indicated: Describe the oxygen device, indications for the specific oxygen therapy ordered, and contraindications for the specific oxygen therapy.

Question 5: Describe the importance of cognitive flexibility in managing changes within complex environments.

Reference no: EM133473239

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