Pulmonary Function: D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing,

Pulmonary Function:
D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.

Case Study Questions

  1. According to the case study information, how would you classify the severity of D.R. asthma attack?
  2. Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on the case study.
  3. Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.

Fluid, Electrolyte and Acid-Base Homeostasis:
Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:

  • Serum glucose 412 mg/dL
  • Serum sodium (Na+) 156 mEq/L
  • Serum potassium (K+) 5.6 mEq/L
  • Serum chloride (Cl–) 115 mEq/L
  • Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/L

Case Study Questions

  1. Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?
  2. Describe the signs and symptoms to the different types of water imbalance and described clinical manifestation she might exhibit with the potassium level she has.
  3. In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?
  4. What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?
  5. Based on your readings and your research define and describe Anion Gaps and its clinical significance.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Six Sigma projects are powerful tools for achieving breakthrough improvements.

Six Sigma projects are powerful tools for achieving breakthrough improvements. Improvement projects utilize the Define, Measure, Analyze, Improve, and Control (DMAIC) methodology while design or re-design projects use the DMADV methodology. Such projects can be undertaken for large or small initiatives, but because they require a fair bit of work

   SOCW 6070 WK 5 Discussion: Addressing Change What does a leader

   SOCW 6070 WK 5 Discussion: Addressing Change What does a leader do when things do not go as planned? How can a leader help to restore or improve an organization’s operations when a situation stalls or interferes with its functions? Although taking a proactive approach to planning is desired,

The history of life in the Cosmos

 For this assignment, you will be given three events or conditions in the history of the development of life in the cosmos. Choose any TWO of these events or conditions (at your discretion and according to your interests). For each one, you must make a short, evidence-based argument addressing both

At some time in their lives, most people will have

At some time in their lives, most people will have sleep problems such as the following: insomnia, nightmares, sleepwalking, bed-wetting, snoring, etc. Pick any sleep problem and tell us what psychologists say can be done to treat it. If you know anyone who had any sleep problem, what remedy helped

One of the first marketing plans you will develop will

 One of the first marketing plans you will develop will be to market your personal brand. A personal brand is how you want to be seen. It will reflect your personality, your skills, and your experiences to tell the story of YOU. As with branding in business, your personal brand

Reflection Paper – Being Different Go to a place where you

Reflection Paper – Being Different Go to a place where you are different from the majority of people present (e.g., a rich poor, Asian-American, Hispanic, Caucasian, African American, etc., neighborhood; a mental health facility; a welfare office; a senior citizen’s center; a LGBT agency, etc.).  Spend several hours in this

Concepts of technology application

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the

This week, we learned about types of economies, resources, population,

This week, we learned about types of economies, resources, population, and environmental policy.  For your Unit 2 Complete assignment, write a narrative essay (minimum 1000 words) in which you address and discuss the questions and statements listed below.  Use at least three scholarly sources and remember to demonstrate a thorough

Addressing today’s problem with school violence is a complicated one.

 Addressing today’s problem with school violence is a complicated one. Use this Discussion Board thread to suggest and explain how you would implement change in school systems to make them safer. Was bullying or disrespectful treatment of a child a rooted cause for these horrible actions? What can schools do

4/4/17

Due 4/6/17 @8:00 a.m. 100 % original 400-600 words with at least 2 references APA format No other country in the world has a health care system like that of the United States. For this Discussion Board assignment, complete the following: Choose a developed country and discuss how its model