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

Orthodontic practice, Dr. Tamera Haines is an orthodontist in Lithia Spring...

Dr. Tamera Haines is an orthodontist in Lithia Springs, Georgia, who specializes in providing superior care for adults and children.  She received her Bachelor of Science degree in

Bacterial growth medium, how a simple medium can be converted into selecti...

how a simple medium can be converted into selective differential and enriched medium

Academic project usually has two levels associated , It is important to not...

It is important to note that an academic project usually has two levels associated with it: the higher level which concerns the carrying out of a scholarly piece of work and the re

Summarize the macro-environment variables, Question: a) (i) When formu...

Question: a) (i) When formulating a strategy, scanning the e-business environment is very important. Explain why an organisation should perform environmental scanning?

Ultrawide band antenna, online purchase of ultrawideband antenna built proj...

online purchase of ultrawideband antenna built projects

Describe the models of managed care, The following chart is just one exampl...

The following chart is just one example of how money flows from the employer who purchases a health plan, to the providers: The employer pays the Health plan on a monthly basis.

Describe the possible effects of electricity on the body, Question 1: A...

Question 1: A 15 years old, two story building, used as a warehouse, has its corrugated roofing sheets damaged and needs replacement. A mobile tower scaffold is made available

Analyse the ancient greek model of democracy, QUESTION 1 Analyse the an...

QUESTION 1 Analyse the ancient Greek model of Democracy. QUESTION 2 Assess the importance of the ‘right to life, liberty , property and the presumption of innocence ' i

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