Cardiopulmonary Anatomy & Physiology
Cardiopulmonary Anatomy & Physiology
7th Edition
ISBN: 9781337794909
Author: Des Jardins, Terry.
Publisher: Cengage Learning,
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Chapter 7, Problem 1CAQ1
Summary Introduction

To review:

The given blank space in the statement, “In the emergency department, even though the patient’s PaCO2 was very high (539 mm Hg), the COHb level of 47 percent (enhanced……; impaired…….) the hemoglobin’s ability to carry oxygen”.

Introduction:

The measurement of the partial pressure of carbon dioxide (PaCO2) and carboxyhemoglobin (COHb) in blood is important to test the function of the lungs and the risk of any future lung diseases. The level of high carbon dioxide and carbon monoxide will cause a decrease inflow of oxygen into the blood through the alveoli, which leads to less binding of oxygen with the hemoglobin molecule. This condition could cause conditions like anemia.

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Case #4Following an automobile accident, a 19 year old male is admitted to the hospital. He has sustained multiple burns, severe pulmonary contusions, and has aspirated. He is admitted to the ICU, intubated and placed on a ventilator with initial settings ofA/C 500 x 16 1.0 +10 PEEP. A PAC is inserted and ABG’sare drawn after 30 minutes of mechanical ventilation. CXR reveals correct placement of the ETT andPAC the presence of bilateral infiltrates.pH = 7.53Hgb = 14 gmsPaCO2 = 35 mmHgPvO2 = 28 mmHgPaO2 = 33 mmHgSvO2 = 58 mmHgHCO3 = 26 mEq/LSaO2 = 78%PAC measurements reveal the following values:CVP = 12 mmHgBP = 140/80 mmHgPAP = 50/25 mmHgHR = 110 beats/minPCWP = 6 mmHgCO = 6.0 L/minPart 3: What is the arterial- venous oxygen content (Ca-vO2) difference for this patient?Part 4: Calculate the patient’s extraction ratio.
Case #4Following an automobile accident, a 19 year old male is admitted to the hospital. He has sustained multiple burns, severe pulmonary contusions, and has aspirated. He is admitted to the ICU, intubated and placed on a ventilator with initial settings of A/C 500 x 16 1.0 +10 PEEP. A PAC is inserted and ABG’sare drawn after 30 minutes of mechanical ventilation. CXR reveals correct placement of the ETT andPAC the presence of bilateral infiltrates.pH = 7.53 Hgb = 14 gmsPaCO2 = 35 mmHg PvO2 = 28 mmHgPaO2 = 33 mmHg SvO2 = 58 mmHgHCO3 = 26 mEq/LSaO2 = 78%PAC measurements reveal the following values:CVP = 12 mmHgBP = 140/80 mmHgPAP = 50/25 mmHg HR = 110 beats/minPCWP = 6 mmHg CO = 6.0 L/minPart 1: Interpret the ABGPart 2: What is the patient’s SVR? What is the patient’s PVR?
Scenario 1: Mr. Pickwick has obstructive sleep apnea, and the doctor has ordered him to be placed on BiPAP at the following settings: mode, S/T; rate, 12 breaths/minute; IPAP = 12 cm H2O; EPAP = 6 cm H2O. You enter his room, identify yourself, and explain everything to him. You also perform a complete assessment. After applying BiPAP, you note a drop in blood pressure and oxygen saturation. 1) What would you recommend to Mr. Pickwick for infection control in the home?
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