use the Information provide and google to answer the following questions.cite each a answer with the link under your answer. no need for a reference page, all is needed is a link under the answer. example: answer and then under it put the link where you got the Information. no link needed for the reflection part.
- List the patient’s symptoms (read the entire case before typing the information).
- Review the Vital Signs (VS) of the patient when the patient arrived at the ED and describe what it tells you regarding his condition. Please note the temperature is in degrees centigrade. Review normal values if you do not know or have the information.
- What a barbiturate (definition)? List the 5 most common recreational barbiturates and side their effect in the organ systems (most common is OK).
- Review the partial pressures of oxygen and carbon dioxide results conducted upon arrival at the ED and compare to the normal values provided on the document posted on Canvas to assist you. Create a table to show the information. Explain what is tells you about his Perfusion-Ventilation.
- Upon arrival the patient is diagnosed as being “positive for short-acting barbiturate.” Based on your answers in the previous questions (3, 4, 5 and 6) the information provided in the 2nd paragraph of the Pathophysiology of the case study, can you provide a diagnosis? Provide the information you used to make the assessment and an educated guess is fine.
- Why was 50% dextrose administered 15 minutes after arrival? You may want to review the NICE algorithms documentation.
- Based on the information you gather, is the patient suffering from alkalosis or acidosis? Be specific on your answer.
- The 3rd paragraph on the pathophysiology of the case study describes that after 15 minutes the PCO2 levels fell below normal. Explain the respiratory compensation mechanism and how it would cause the levels to decrease? The answer should be based on the answer provided in question 7.
- How would the renal system compensate for the problem? The answer should be based on the answer provided in question 7.
- 10.Review answers to questions 7-9 and provide a specific diagnosis? Is your diagnosis the same as the one in question 5? Explain and describe the information used to determine if your diagnosis is the same or different.
- Explain what is considered a flaccid muscle tone (medical terminology) and also what deep tendon reflex depressed means (check the nervous system case study you did to assist you since you already researched it).
- 12.Based on what the answer to question # 3, can you guess “an educated guess of course” what barbiturates the patient took?
Reflection
- Describe how the case study help you in understanding the connection between acid-base balance and ventilation. This should be as detail as you can and use lecture notes, as necessary.
- List a new concept(s) learned from the case study.
- Did the project help you to fully understand the purpose of measuring partial pressure of gases? Describe in detail how.
- What other medical information do you think you need to make a better assessment of the patient?
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