Respiratory Essay

775 WordsOct 21, 20114 Pages
Case Study for Respiratory Disorders #2 Scenario A.W., a 52-year-old woman disabled from severe emphysema, was walking at a mall when she suddenly grabbed her right side and gasped, “Oh, something just popped.” A.W. whispered to her walking companion, “I can’t get any air.” Her companion yelled for someone to call 911 and helped her to the nearest bench. By the time the rescue unit arrived, A.W. was stuporous and in severe respiratory distress. She was intubated, an IV of lactated Ringer’s (LR) to KVO (keep vein open) was started, and she was transported to the nearest emergency department (ED). On arrival at the ED, the physician auscultates muffled heart tones, no breath sounds on the right, and faint sounds on the left. A.W. is…show more content…
You also note that on the cardiac monitor A.W. is having numerous irregular beats. 6) Which one of these lab test results most concerns you? Explain. BUN elevation can be caused by impaired renal secretion that could cause shock. 7) What is causing the irregular beats on the cardiac monitor? She could possibly be going into shock because of elevated BUN levels. As the physician begins the process to insert the chest tube the mechanical ventilator suddenly fails. 8) What should you do? I would tell the doctor to stop if he didn’t start and grab a manual ventilator and try to find a replacement mechanical ventilator. A.W.’s chest tube is inserted successfully and she is stabilized. She is admitted to the ICU and will be in the hospital on bed rest for a minimum of several days as she recovers. 9) What is the number one complication you want to guard against for A.W.? Explain. Pneumonia, because she isn’t mobile. 10) What can you do to prevent this complication? Have AW use an incentive speromiter to help with deep breathing. Three days after admission A.W. is diagnosed with a pulmonary embolism. 11) List six assessment findings you should monitor closely for with this condition. I would carefully monitor vital signs, cardiac dysrhythmias, pulse oximetry, ABG’s and lung sounds. 12) Why did A.W. develop a

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