Arterial blood gas

Arterial blood gas (ABG) and electrolytes analysis is an important test to monitor acid-base balance and the assessment of gas exchange. Various factors can affect the accuracy of the results. A study showed that; the ABG’s results changes occurs when the analysis is delayed. They suggested storing the blood on bag of ice to minimize changes. According to The American Association for Respiratory Care Clinical Practice Guideline the blood sample should be analyzed in 10-15 minutes at room temperature and 1 hour at ice bag. Dagleish MP. (2004) Investigate the Effects of syringe material and temperature and duration of storage on the stability of equine arterial blood gas variables by measuring the PaO2, PaCO2 and PH in 10, 60 and 120 minutes…

Respiratory rate 20 non-labored, producing a white material on the buccal mucosa; which does not wipe off with tongue blade. Other vital signs: temperature: 101.F, pulse: 100 BMP (regular), blood Pressure: 130/72mmHg, pulse oximeter: SAO 98% RA. Auscultation reveals decreased breath sounds, dull to percussion right lower lobe. End expiratory wheeze in right lower lobe, as well as an increased anterior-posterior diameter to chest wall, no rales or rhonchi. Chest X-ray results shows…

Internal injuries most often happen during a separate medical procedure by the veterinarian (iatrogenic). These causes include: Accidental puncture while drawing blood Accidental puncture during neck surgery Traumatic intubation during use of a tracheostomy tube Administration of anesthesia During a transacheal wash External trauma to the trachea normally occurs as the result of an accident. These accidents include: Penetrating trauma from an arrow, gunshot Blunt trauma from a thrown rock…

tries to swallow, food gets caught in his throat. This means he is at risk of aspiration. In addition, enteral feeding is preferred to parenteral feeding due to less infection and preserves gut integrity by preventing bacterial overgrowth and migration of bacteria to the blood stream. Since Mr. J is receiving 5% D5W with 0.45% saline, the nurse should monitor hyperglycemia, fluid imbalances and electrolyte imbalances. However, if the patient is not tolerating enteral nutrition, parenteral…

Last Pap smear was obtained one year ago with negative results. Last complete blood work was assessed with a physical done one years ago with normal results. Tuberculin test was last done in December 2009, with negative results. Family/Social History Patient is a single female engineering student, currently residing in New York with her parents. She is a non-smoker, and non-alcoholic. She denies use of illicit drugs. Ms. A does not follow any…

When it came to interventions for the patient there were many which were divided into independent, dependent, and interdependent. Some of the independent interventions that pertain to this patient which is discussed in research was the importance of position changes. In the previous article which discussed the prevention of pressure ulcers they mention that the new pressure ulcer reducing bundle included interventions to move the patient every 3 hours and if indicated every 2 hours (Coyer…

when exercising, barrel chest yet thin limbs, significant weight loss, and labored breathing (Dr. Goodwin, 2017). 3. Progressive respiratory failure: In this disease, "the gas exchange between the air and circulating blood is severely impaired, causing abnormal levels of tissue gases that can be life threatening." symptoms are: persistent cough, dypnea ( especially with exertion), diminished cognitive ability or confusion, cyanosis, fatigue, and edema ( particularly in the hands and feet)…

Assignment 1- Professional integration I chose chapters 4, containing material on the musculoskeletal system and chapter 6, and containing material on the cardiovascular and lymphatic system. I chose these two chapters because there was material in each that I was unclear about and needed some extra time put in to learn these topics. In the musculoskeletal system, I have had troubles with keeping the anatomical planes separate and which motion is in what plane, need to review the energy systems,…

Outline of Case and Objectives  43 year old male  Previous laparotomy about 10 years ago due to gunshot abdomen  Presenting now with a single stab wound to the right epigastric region, pericardial effusion confirmed by ultrasound. Explorative laparotomy done- patient has right ventricular injury and right sided diaphragmatic injury  The patient was intubated and ventilated  The patient had the following devices in place: o Right Intercostal Chest Drain (ICD) for a haemothorax which drained…

 Micro- The patient’s microbiology test result shows that the blood culture has no growth. Whereas, the respiratory culture was obtained from tracheal aspiration and has positive test results with many WBC’s less than 25 squamous epithelial cells, moderate Gram-negative Rods, many Pseudomonas aeruginosa and moderate Klebsiella pneumonia which was resistant to Ampicillin.  CBG- Capillary blood gas results conclude that the patient has moderate hypoxemia and the acid-base status of this blood…