Professional Documents
Culture Documents
Abg Case Studies
Abg Case Studies
PH 7.28
CO2 43
P02 88
HCO3 20
SAO2 96%
ANSWERS FOR MS. STRAUSS
MR. KARL HAS METABOLIC AND RESPIRATORY ACIDOSIS WITH HYPOXEMIA. THE METABOLIC ACIDOSIS
IS CAUSED BY HIS SEPSIS. THE RESPIRATORY ACIDOSIS IS SECONDARY TO RESPIRATORY FAILURE.
THE PRESENTATION OF SEPSIS AND ASSOCIATED RESPIRATORY FAILURE IS CONSISTENT WITH ARDS
TREATMENT MUST BE AGGRESSIVE, BECAUSE IS ACIDOSIS IS SEVERE. HIS RESPIRATORY STATUS NEEDS TO
BE STABILIZED, AND WOULD PROBABLY REQUIRE MECHANICAL VENTILATION.
IF HYPOTENSION EXISTS, AGGRESSIVE FLUID AND VASOPRESSOR SUPPORT WOULD BE WARRANTED.
THIS PATIENT IS AT HIGH RISK FOR FURTHER COMPLICATIONS AND SHOULD BE MANAGED IN AN ICU.
BICARBONATE SHOULD NOT BE ADMINISTERED UNTIL THE UNDERLYING SEPSIS AND RESPIRATORY
FAILURE IS TREATED.
CASE STUDY 4 MRS. LAUDER
AFTER RESUSCITATION MRS. DOBINS, YOU FIND MR. WHAT IS YOUR INTERPRETATION?
SIMMONS TO BE IN RESPIRATORY DISTRESS. HE HAS
A HISTORY OF TYPE 1 DIABETES MELLITES AND IS WHAT INTERVENTIONS WOULD BE
NOW FEBRILE (WOW, WHAT A BAD DAY!). HIS ABGS APPROPRIATE FOR MR. SIMMONS?
SHOWS:
PH 7.00
C02 59
P02 86
HC03 14
SA02 91%
ANSWERS FOR MR. SIMMONS
WOW! MRS. SIMMONS TOO! HE, LIKE MRS. DOBINS, HAS METABOLIC AND RESPIRATORY
ACIDOSIS WITH HYPOXEMIA. HOWEVER, HIS CAUSE IS DIFFERENT. HIS RESPIRATORY
ACIDOSIS IS PROBABLY THE RESULT OF PNEUMONIA (ALSO CAUSING THE FEVER).
HIS PNEUMONIA HAS ALTERED HIS GLUCOSE METABOLISM, CAUSING HYPERGLYCEMIA
AND DIABETIC KETOACIDOSIS.
TREATMENT SHOULD BE THREE-PRONGED: 1) INCREASE HIS OXYGENATION WITH
OXYGEN THERAPY LIKE CPAP, BIPAP, OR MV, 2) TREAT HIS PNEUMONIA WITH ANTIBIOTICS,
ANTIPYRETICS, AND GOOD PULMONARY HYGIENE., AND 3) ADMINISTER INSULIN AND IV
FLUIDS TO DECREASE HIS BLOOD GLUCOSE AND TREAT HIS DKA.
CASE STUDY 10 MS. BERTH
MS. BERTH WAS ADMITTED FOR A DRUG OVERDOSE. WHAT IS YOUR INTERPRETATION?
SHE IS BEING MECHANICALLY VENTILATED AND A
BLOOD GAS IS OBTAINED TO ASSESS HER FOR WHAT INTERVENTIONS WOULD BE
WEANING,. THE RESULTS ARE AS FOLLOWS: APPROPRIATE FOR MS. BERTH?
PH 7.54
C02 19
P02 100
HC03 16
SA02 98%
ANSWER FOR MS. BERTH