Nursing Question

Purpose:

To analyze alterations in pulmonary function and fluid/electrolyte balance, demonstrating the ability to interpret clinical manifestations and anticipate complications relevant to clinical practice.

Instructions:

Diagnostic Case Write – Mr. M.P., a 68-year-old White Hispanic male with a history of COPD, presents with worsening shortness of breath, productive cough, and fatigue for 3 days. He appears drowsy and is using accessory muscles to breathe.

Vitals: HR 110, RR 28, BP 148/88, Temp 100.4F, SpO 82% RA 90% on 2L NC

ABG Results:

  • pH: 7.30
  • PaCO: 60 mmHg
  • HCO: 26 mEq/L
  • PaO: 55 mmHg
  1. Determine if the disorder is acidosis/alkalosis, metabolic/respiratory, and whether it is compensated.
  2. Explain the physiological process that led to these ABG results in COPD exacerbation.
  3. List two alternative conditions that could produce similar findings.
  4. Outline immediate nursing interventions and advanced practice considerations.

Submission Instructions:

  • Submissions (at least 2-3 pages excluding the title and reference pages) supported by at least two current scholarly sources

Requirements: Submission Instructions: Submissions (at least 2-3 pages excluding the title and reference pages) supported by at least two current scholarly sources

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