CASE STUDY FLUID ELECTROLYTE AND ABG INTERPRETATION While working…

Question Answered step-by-step CASE STUDY FLUID ELECTROLYTE AND ABG INTERPRETATION While working… CASE STUDYFLUID ELECTROLYTE AND ABG INTERPRETATIONWhile working on a medical -surgical unit the ABG results come back for patients you are caring for, identify any acid-base problems and the necessary interventions for each set of ABG data given below.1.                                a. pH =7.40,  pO2 =74,   pCO2 = 40 mEq/L HCO3 = 23 b.  pH =7.30,  pO2 = 90,    pCO2 = 40 mEq/L HCO3 = 15c.    pH = 7.30, pO2 = 87,   pCO2 = 50 mEq/L HCO3 = 22 d.  pH = 7.60 ,pO2 = 94,   pCO2 = 21 mEq/L HCO3 = 30                            e.  pH = 7.43, pO2 = 92,   pCO2 = 40 mEq/L HCO3 = 24                            f .  pH = 7.28, pO2 = 59,   pCO2 = 50 mEq/ L HCO3 =27 an assessment on one of your patient’s and you note SOB, and crackles throughout all posterior lung fields and in both lower lobes anteriorly. The physician has ordered Lasix (Furosemide) 40 mg IV push.2.   What effect, if any, will Lasix have on your patient’s lung sounds?3. What action should you take before giving the Lasix and state your rationale?     What if any observation should you expect to see in your patient’s urinary     output?4.   Would you expect to see any electrolyte changes in a patient receiving Lasix? Another patient you are caring for has the following lab values; Na 129mEq/L,  K 3.3 mEq/L, CL 92 mEq/L, BUN 37mg/dl, HCO3 26 mEq/L, Creatine 2.0 mg/dl, and Calcium 7.1 mg/dl.5.    Which laboratory values concern you and why? What is the primary function  of Potassium, Na, and Calcium?6.   Discuss the major nursing concerns when caring for a patient who is Hypokalemic and a patient who is Hyperkalemic.7. The physician has ordered KCL 100 mEq to be diluted in 1000cc normal    saline. Is this an order you would carry out? If not, what would be an    acceptable order and what precautions must always be taken when    administering KCL?The ABG’s results are pH 7.55, PaCO2 24mmHg, HCO3 24 mEq/L and PaO2 56mmHg. SaO2 is 86% on room air.8.     What is your interpretation of these ABG’s?9.    What interventions can be employed for this patient?10.  Identify three appropriate Nursing Diagnoses for this client based upon the       above information. Health Science Science Nursing NUR 281 Share QuestionEmailCopy link Comments (0)