NURS 6201 Study Guide - Quiz Guide: Respiratory Alkalosis, Respiratory Acidosis, Metabolic Alkalosis
Document Summary
Copd with pneumonia case study student name maggie stewart. Anna smith is a 70-year-old female who comes to the ed with a 5-day history of cough with increased sputum production. She has shortness of breath and a temperature of 101 degrees f. she has smoked 1-2 packs of cigarettes a day for 50 years. She has been hospitalized 3x previously for pneumonia, the last time being 6 months ago. Vitals: t 101. 5 f, p 120, rr 32, bp 132/76. She has an increased anteroposterior (ap) diameter of her chest (barrel chest). Increased ap diameter of chest: fingernail clubbing. You auscultate crackles bilaterally in lower lung fields. Ms. smith"s x-ray shows infiltrates in lung bases bilaterally. She is admitted with copd and pneumonia: ms. smith has the following abg"s: ph 7. 26, paco2 56, hco3- 25. O2 per nasal cannula to keep o2 sats > 88%. The vial supplies 100mg/ml in a 2ml vial.
