Cari's Story Essay

PCO2 decreased during rapid breathing because more CO2 was removed from the blood than normal. Each breath expels a certain amount of CO2. If the breathing rate increases, then more CO2 is expelled.

A low partial pressure of oxygen (PaO2) suggests that a person is not getting enough oxygen; Metabolic acidosis->Kidney failure, shock, diabetic ketoacidosis

B. The muscles that help move air in and out of the lungs are severely compromised.

6. Your patient has a respiratory disease that has literally paralyzed the cilia. Explain why this patient would be at an increased risk for a respiratory infection. What type of treatment might you want to give to this person? Please be specific.

Both rapid, shallow breathing patterns and hypoventilation effect gas exchange. Arterial blood gases will be monitored and changes discussed with provider. Alteration in PaCO2 and PaO2 levels are signs of respiratory failure. Patient’s body position will be properly aligned for optimum respiratory excursion, this promotes lung expansion and improved air exchange. Patient will be suctioned as needed to clear secretions and maintain patent airways. The expected outcome is that the patient’s airway and gas exchange will be maintained as evidence by normal arterial blood gases (Herdman,

Which of the symptoms Cari’s has described are due to the lack of oxygen and reduced oxygen exchange in her tissues?

She has felt out of breath and so cannot do this for a long time without feeling the need to rest at frequent periods. This is caused by Anemia which means there is less blood flow to the brain. Anaemia is something that occurs when one has kidney failure. This can cause a build-up of fluid in the lungs; a low oxygen count in your body can be the main symptom of this. As a result of this it meant that Rachel was feeling cold all of the time and often burnt herself in the bath or on a hot water bottle. This has affected her quality of life because it caused her pain and discomfort which should not occur on an everyday basis.

Question K: How would you have expected Cari’s deceased Pco2 and alkaline blood pH to have affected her breathing?

For the pass this assignment will describe the investigations that are carried out to enable the diagnosis of these physiological disorders. For the merit this assignment will assess possible difficulties involved in the diagnosis from their signs and symptoms.

There is no problem in her breathing at this time, but eventually there may be shortness in breath which

I. Which of the symptoms Cari has described are due to lack of oxygen and reduced oxygen exchange at her tissues?

No scalp lesions. Dry eyes with conjunctival injection. Mild exophthalmos. Dry nasal mucosa. Marked cracking and bleeding of her lips with erosions of the mucosa. She has a large ulceration of the mucosa at the bite margin on the left. She has some scattered ulcerations on her hard and soft palette. She has difficulty opening her mouth because of pain. Tonsils not enlarged. No visible exudate. SKIN: She has some mild ecchymosis on her skin and some erythema, she has some patches but no obvious skin breakdown. She had some fissuring in the buttocks crease. PULMONARY: Clear to precussion and auscultation, bilaterally. CARDIOVASCULAR: No murmurs or gallops noted. ABDOMEN: Soft, non-tender, protuberant, no organomegaly, and positive bowel sounds. NORALOGIC EXAME: Cranial nerves ii – xii are grossly intact, diffuse hyporeflexia. MUSCULAR SKELETAL: Erosive destructive changes in elbows, wrist, and hands consistent with rheumatoid arthritis. Has had bilateral total knee replacements with stovepipe legs and perimalledal pitting edema 1+. I feel no pulse distally in either leg. PHYCIATRIC: Patient is a little anxious about these new symptoms and there significance. We discussed her situation and I offered her psychiatric services, she refused for now.

PHYSICAL EXAM: Temperature 98.6, Blood pressure 140/90. Pulse 110. Respirations 26. Her lungs are clear, showing mild signs of distress. Heart sounds are normal, irregular rhythm and bradycardia noted. No edema noted in extremities. Patient skin is cool to touch, slightly clammy. EEG shows prolonged QRS wave, with ischemic ST changes and PVCs. Chest radiograph clear.

2. Upon admission to the hospital, Allen’s breathing was rapid and shallow, can you explain why? Pg. 969

Did the pH level of the blood change at all during this run? If so, how? Yes it did, when the breathing