1. Assessment: What 6 abnormalities are seen in the patients presentation an ter
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Question
1. Assessment: What 6 abnormalities are seen in the patients presentation an terminology to describe the abnormalities. (ex: high glucose in vital signs? Indicate the correct medical 2. What does his posture signify? 3. What are the 3 fa ctors contributing to the pathology underlying an asthma attack? Normal pH of body fluids: o Arterial blood is 7.4 o Venous blood and interstitial fluid is 7.35 o Intracellular fluid is 7.0 . Seizures Lethargy& Confusian Light Headedness Nausea, Vomiting Deep, Rapid Breathing Rapid, Shallow e Mutcle Wsaknese, operre esia Tachycardia Lor Normal Bmcaypenentiatien Cyanceic + Headach Hyperkalemia e Causes: Numbness & Tingling of Extremities tk) 4. What do the following labs indicate: acidosis or alkalosis? His arterial blood gases on room air: PH 7.58 Pa02 8.5 kPa PaCO2 4.1 kPa HCO3-23 mmol/L (Normal range) (7.35-7.45) (10-13.1 kPa) (4.9-6.1 kPa) (22-28 mmol/L) What is causing this respiratory pH disturbance? Explain the pathophysiology. (Medscape has a nice article- please do not copy and paste !I http:./Lemedicine.medscape.com/a 5.Explanation / Answer
Answers -
1. 6 abnormalities related to vital signs are -
- Febrile - when body temperature is higher then normal.
- hypothermia - when body temperature is lower then normal.
- Tachycardia - when heart beat is above 100 per min. in adults.
- bradycardia - when heart beat is below 60 per min. In adults.
- Radioradia delay - it happens when there is unmatched pulse frequency between radial arteries.
- Radio femoral dealy - it happens when there is unmatched pulse frequency between radial & femoral artery.
2. His posture is completely signifying to a dull & ill resembling body posture which suffering from disease and looks lazy, lethargic & disturbed.
3. 3 factor contributing to pathology underlying as asthma attack are -
1. Hyperventilation- in respiratory alkalosis, it is found in patients with respiratory alkalosis,pulmonary embolism & pneumonia.
2. Hypoventilation - in respiratory acidosis it leads to hypoxia which can lead to acute asthma attack.
3. Hyperreflexia - it is seen with muscle weakness in asthma patients including with respiratory acidosis.
4. The labels indicate :-
Acidosis - the pH of blood is gone towards the acidic in nature. That is below 7.
Alkalosis - the pH of blood is gone towards the basic in nature. That is above 7.
5. The lung disease like asthma & chronic obstructive pulmonary disease can lead to respiratory acidosis.
Where, chronic liver disease & hyperventilation can lead to respiratory alkalosis.
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