Case #4 Dillon is a 55 lb., 6-year-old male who fell into a fresh water lake while duck hunting with his father. Dillon was unaccounted for 15-20 minutes until his body was found floating face down in the water. He was immediately pulled out and basic life support was started. Upon arrival at the hospital, his ABG results were as follows: pH = 6.90; P.O₂ = 49 mmHg; PCO₂ = 54 mmHg; and HCO3 = 24 mEq/L. 1. What is Dillon's acid-base disturbance? acid nam TPCO₂ HLU 2. What is the specific cause of his acid-base disturbance? Explain your answer. 3. In the hospital, ventilatory support is provided with PEEP (positive end- expiratory pressure) and Dillon's latest ABG are: PO₂ = 88 mmHg, CO₂ = 38 mmHg, HCO3 = 10 mE/L, pH = 6.99. What would you attribute his current acid/base status to? Explain.

Anatomy & Physiology
1st Edition
ISBN:9781938168130
Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Publisher:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Chapter26: Fluid, Electrolyte, And Acid-base Balance
Section: Chapter Questions
Problem 39CTQ: Case Study: Bob is a 64-year-old male admitted to the emergency room for asthma. His laboratory...
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acid
1 ACO₂-
Case #4
Dillon is a 55 lb., 6-year-old male who fell into a fresh water lake while duck hunting
with his father. Dillon was unaccounted for 15-20 minutes until his body was found
floating face down in the water. He was immediately pulled out and basic life support
was started. Upon arrival at the hospital, his ABG results were as follows: pH = 6.90;
P₂O₂ = 49 mmHg; PCO₂ = 54 mmHg; and HCO3 = 24 mEq/L.
acid
norm
1. What is Dillon's acid-base disturbance?
norm
трог HCO3
2. What is the specific cause of his acid-base disturbance? Explain your answer.
3. In the hospital, ventilatory support is provided with PEEP (positive end-
expiratory pressure) and Dillon's latest ABG are: PO2 = 88 mmHg, CO₂ = 38
mmHg, HCO3- = 10 mE/L, pH = 6.99. What would you attribute his current
acid/base status to? Explain.
4. The doctors order a continuous ECG monitor and a blood chemistry panel to
evaluate Dillon's serum electrolyte levels. The doctor explains to the critical
care nurse that he is concerned about a redistribution or transmembrane shift
of electrolytes. Which particular electrolyte is the doctor most concerned
about and how would that affect Dillon's cardiac function?
alk
рог
Фон
PCO₂ TpH
alk
фен
Transcribed Image Text:acid 1 ACO₂- Case #4 Dillon is a 55 lb., 6-year-old male who fell into a fresh water lake while duck hunting with his father. Dillon was unaccounted for 15-20 minutes until his body was found floating face down in the water. He was immediately pulled out and basic life support was started. Upon arrival at the hospital, his ABG results were as follows: pH = 6.90; P₂O₂ = 49 mmHg; PCO₂ = 54 mmHg; and HCO3 = 24 mEq/L. acid norm 1. What is Dillon's acid-base disturbance? norm трог HCO3 2. What is the specific cause of his acid-base disturbance? Explain your answer. 3. In the hospital, ventilatory support is provided with PEEP (positive end- expiratory pressure) and Dillon's latest ABG are: PO2 = 88 mmHg, CO₂ = 38 mmHg, HCO3- = 10 mE/L, pH = 6.99. What would you attribute his current acid/base status to? Explain. 4. The doctors order a continuous ECG monitor and a blood chemistry panel to evaluate Dillon's serum electrolyte levels. The doctor explains to the critical care nurse that he is concerned about a redistribution or transmembrane shift of electrolytes. Which particular electrolyte is the doctor most concerned about and how would that affect Dillon's cardiac function? alk рог Фон PCO₂ TpH alk фен
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