Mr. Worried is a 72-year-old widow. He is retired and living alone….

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Question Answered step-by-step Mr. Worried is a 72-year-old widow. He is retired and living alone…. Mr. Worried is a 72-year-old widow. He is retired and living alone. He enters the ED complaining of shortness of breath and tingling in his fingers. His breathing is shallow and rapid. He denies diabetes; his blood sugar is normal. There are no EKG changes. He has no significant respiratory or cardiac history. He takes several antianxiety medications. He says he has had anxiety attacks before. While being worked up for chest pain an ABG is done: ABG results are: pH= 7.48 PaCO2= 28 HCO3= 22 PaO2= 85 Problem: what is your analysis of his ABGs?pH is __increased__ PaCO2 is __decreased__ ABGs show __respiratory alkalosis___ What do you think is going on with Mr. Worried based on the results of his ABGs?   Solution: What specific nursing intervention can you use to assist Mr. Worried and help to improve his respiratory status? Health Science Science Nursing NURS 2920 Share QuestionEmailCopy link Comments (0)

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Lucinda's asthma is well controlled with a daily inhalation (morning) of Beclomethasone. When she has the occasional common cold, she also requires salbutamol to relieve her asthma symptoms.Three days after her mother developed a chest infection, Lucinda began to feel unwell. She became dyspnoeic within a day and had a temperature of 39.5 degrees Celsius. She wheezed and coughed and experienced bouts of chest tightness. Within a few hours her condition deteriorated, and her mother rushed her to the Emergency Department. A primary and secondary survey were done by the nurse practitioner together with the medical officer.They found the following:Vital signsRR: 32 bpm and shallowSpO2: 90% on room airBP: 160/90 mmHg (MAP 113 mmHg)HR 125 bpmTemp: 38.5 oCRespiratory assessmentLucinda was using her accessory muscles to help her breathe and on auscultation she had:decreased breath soundsabnormal breath sounds on inspiration and expirationShe was also having difficulties in completing sentences in one breath due to her dyspnoea. Venous blood gases:pHPvO2PvCO2Bicarbonate 30 mmol/L (ref range: 23 - 29mmol/L)7.29 (ref range: 7.31 - 7.41)25 mmHg (ref range: 30mmHg - 40mmHg) 55 mmHg (ref range: 41mmHg - 51mmHg)In the short time since Lucinda had arrived in the ED, her peripheral SpO2 saturation level had dropped further to 88%.Therapeutic interventionsThe nurse caring for her administered Salbutamol 0.5 mL with 3.0 mL normal saline through a nebuliser with oxygen for 10 minutes. The nurse also inserted an intravenous cannula in case Lucinda deteriorated further and required intravenous corticosteroids.Supplemental oxygen at 6L/min with humidification was administered. SpO2 target was 96%.
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