Give answers for 1,2,3, 4 and 5 please. Case Study #2J.T, a 68-year-old man complained of severe chest pains that radiate down the inside of hisleft arm. Shortly afterward, he collapsed on the bedroom room floor. Paramedics arriving at hishouse just minutes later found him unconscious. Upon arrival at the Emergency Room, J.T.regained consciousness, complaining of continued chest pan.Physical ExamTestNormal values120/8060-100 bpm12-18 breaths/minJ.T's values85/50145 bpmHeart rateRespiratory rateTemperature32 breaths/min00.2 F• His breathing was rapid (tachypnea) and labored. his pulse was rapid and weak everywhere,and his skin was cold and cammy. An EKG was done. revealing Significant "Q" waves in mostof the leads. Blood testing revealed marked'y elevated cardiac troponin levels.Questions:1. What is the primary diagnosia of JT's condition? What evidence supports your diagnosis?Next, arterial blood was sampled and revealed the following:Arterial Blood Gas (ABG) and Serum Lactate analysisTestNormal valuesPHPCO,JT's values7.0221 mm Hg735-7.4535-45 mm HgpO.80-100 mm Hg65 mm Hg.88%6[HCO.]Arterial lactate22-26 meg liter8 meg /Iter8.4 mmol./ liter.<2 mmol / liter2. How would you classify his acid-base status?Respiratory Aciooals/Reapiratory Alkalcaiz /Metaconc Aciodosie/Metaboic Alkalosis 3.3. ExamineJ.T.'s arterial lactate levels. How wouldJ.T.s oondition causes the observedchange in his arterial lactate levels? How might this change in lactate levels contribute tohis acid-base disturbance?4. How has his body started to compensate for this acd-base disturbance? How would thischange help alleviate his acid-base imbalance?5. In the emergency room,J.T. received an IV to treat his acid-base disturbance. What type ofIV would be ased? Explain how this IVwould help restone acid-base balance.

Physical examination is the process of integrating the history and the pathophysiology of the…

Case Study #2 J.T., a 08-year-old man complained of severe chest pains that radiate down the inside of his left arm. Shortly afterward, he collapsed on the bedroom room floor. Paramedics arriving at hi house just minutes later found him unconscious. Upon arrival at the Emergency Room, J.T. regained consciousness, complaining of continued chest pain. Physical Exam his vital signs were as follows: Test Normal values 120/80 60-100 bpm J.T.'s values 85/50 Systemic blood pressure Heart rate Respiratory rate Temperature 145 bpm 32 breaths/min 09.2 F 12-18 breaths/min 08 6 F His breathing was rapid (tachnypnea) and labored, his pulse was rapid and weak everywhere, and his skin was cold and ciammy. An EKG was done, revealing significant "Q" waves in mos of the leads. Blood testing revealed markedly elevated cardiac troponin levels. Questions. 1. What is the primary diagnosis of JT's condition? What evidence supports your diagnosis? Next, arteral blood was sampled and revealed the fol owing: Arterial Blood Gas (ABG) and Serum Lactate analysis Test pH PCO, PO. Hemoglobin - O, saturation [HCO.] Normal values JT's values 7.35-7.45 7.02 35-45 mm Hg 21 mm Hg 80-100 mm Hg >95% 88% 22-26 meg/ liter 8 meg /liter 8.4 mmcl /liter Arterial lactate <2 mmol/liter 2. How would you classify his acid-base status? Reepiratory Aciooals/Reapiratory Alkalosiz/Meraboic Acidosia/Metaboic Alkalosis

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter7: Preventing Perioperative Disease Transmission

Section: Chapter Questions

Problem 7.2.4CS