MrHeyden, a 72-year-old, has abdominopelvic trauma. His left side of the body was pinned beneath the tractor due to an accident at his farm. His lower quadrant appears to be compressed. He was taken to the hospital and the paramedical experts measured his blood pressure and heart rate for the further treatment. Mr Heyden suffered from the pain on the left side of his body. Characters in the case: Mr Heyden and the paramedical expert. Adequate information: His blood was reported at 90/50 mm Hg (millimetres of mercury) and his heart rate was 116 beats per minute. His blood pressure was continuously falling and the blood volumes of his body were also decreasing. He also loses consciousness. His blood pH (potential of hydrogen) was 7.33, the carbon dioxide pressure was 34 mm Hg (millimetres of mercury), and the concentration of bicarbonate ions in his body was found 20 mEq/L (milliequivalents of solute per litre). To determine: The explanation for the pH, carbon dioxide pressure, and the concentration of the bicarbonate ions, which were found to be 7.33, 34 mm Hg, and 20mEq/L, respectively.

Question

Want to see the full answer?

Answer 1

Question

Chapter 26, Problem 5CCS

Summary Introduction

Case summary:

MrHeyden, a 72-year-old, has abdominopelvic trauma. His left side of the body was pinned beneath the tractor due to an accident at his farm. His lower quadrant appears to be compressed. He was taken to the hospital and the paramedical experts measured his blood pressure and heart rate for the further treatment. Mr Heyden suffered from the pain on the left side of his body.

Characters in the case:

Mr Heyden and the paramedical expert.

Adequate information:

His blood was reported at 90/50 mm Hg (millimetres of mercury) and his heart rate was 116 beats per minute. His blood pressure was continuously falling and the blood volumes of his body were also decreasing. He also loses consciousness. His blood pH (potential of hydrogen) was 7.33, the carbon dioxide pressure was 34 mm Hg (millimetres of mercury), and the concentration of bicarbonate ions in his body was found 20 mEq/L (milliequivalents of solute per litre).

To determine: The explanation for the pH, carbon dioxide pressure, and the concentration of the bicarbonate ions, which were found to be 7.33, 34 mm Hg, and 20mEq/L, respectively.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Students have asked these similar questions

21) Female,35 years old. She came to the clinic because of persistent precordial pain for 2 days. Physical examination: frictional sounds can be heard in the fourth rib space on the left side of the sternum,which can still be heard after holding the breath. The ECG suggests bow-dorsal downward elevation of the ST seament in the conventionai leads. What is her most likely clinical diagnosis? A Acute myocardial infarction() B Variant angina C Acute pleurisy D Acute pericarditis E Acute pulmonary embolism

K.R. is a 46-year-old man admitted to the emergency department with unremitting chest discomfort. The pain started while he was shoveling snow from his walkway. He had experienced chest discomfort with activity previously, but the pain had subsided with rest and he sought no medical help. This time the pain did not subside and became increasingly severe, radiating to his left arm and lower jaw. In the emergency department, an ECG and cardiac enzymes were obtained. The cardiac monitor showed sinus tachycardia with occasional premature ventricular complexes. After receiving results of his ECG and cardiac enzymes, the physician diagnoses K.R. with a myocardial infarction (MI). What drug treatment would you expect to administer for the pain associated with MI? Why? (List 2 drugs that would help treat the pain associated with MI. Explain why these drugs are helpful in reducing pain.) What medical treatment, other than medications, would you expect K.R. to undergo for MI? Briefly…

K.R. is a 46-year-old man admitted to the emergency department with unremitting chest discomfort. The pain started while he was shoveling snow from his walkway. He had experienced chest discomfort with activity previously, but the pain had subsided with rest and he sought no medical help. This time the pain did not subside and became increasingly severe, radiating to his left arm and lower jaw. In the emergency department, an ECG and cardiac enzymes were obtained. The cardiac monitor showed sinus tachycardia with occasional premature ventricular complexes. After receiving results of his ECG and cardiac enzymes, the physician diagnoses K.R. with a myocardial infarction (MI). What electrocardiographic (ECG) changes would indicate that K.R. is experiencing a MI? (List 3 ECG changes that would indicate MI.) What changes in “cardiac enzymes” would be consistent with a diagnosis of MI? (List and describe 3 cardiac enzyme changes consistent with MI.) What is the most common…