A patient was admitted to the hospital with chronic obstructive pulmonary disease. His PO2 was 55 and PCO2 was 65. A new resident orders 54% oxygen via the Venturi mask. One hour later , after the oxygen was placed, the nurse finds the patient with no respiration or pulse. She calls for a Code Blue and begins cardiopulmonary resuscitation(CPR) .

A patient was admitted to the hospital with chronic obstructive pulmonary disease. His PO2 was 55 and PCO2 was 65. A new resident orders 54% oxygen via the Venturi mask. One hour later , after the oxygen was placed, the nurse finds the patient with no respiration or pulse. She calls for a Code Blue and begins cardiopulmonary resuscitation(CPR) .

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter24: Noninvasive Positive-pressure Ventilation

Section: Chapter Questions

Problem 10SEPT

See similar textbooks

Similar questions

Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8) What is the pathophysiology related to this disease process in the aging…
Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8) Nursing Diagnosis 1: Goals: (Expected Outcome, long and short term)…
Mr. Wallace, a 65-year-old male with a history of chronic obstructive pulmonary disease (COPD), is experiencing a COPD exacerbation. He is currently on 2 liters of oxygen via nasal cannula and has been prescribed a new medication regimen. You observe that he is having difficulty using his inhaler properly. Options: a) Provide education on proper inhaler technique. b) Increase the oxygen flow rate. c) Switch to a nebulizer treatment. d) Encourage deep breathing exercises.
A patient is undergoing surgery under general anesthesia. The anesthesiologist is using an inhalational anesthetic agent with vecuronium to augment skeletal muscle relaxation. After the surgical procedure, the anesthesiologist wants to use a drug so the patient can resume breathing on their own and be weaned off the ventilator. Which of the following drugs is the best for quick recovery in this patient? Answers A - E A Atropine B Dantrolene C Neostigmine D Sugammadex E Succinylcholine O
Mr. Chan is admitted to the emergency unit with shortness of breath. He had similar symptoms approximately 1 year ago with a chronic obstructive pulmonary disease (COPD) exacerbation requiring hospitalization. (a) What is obstructive lung disease? How does it affect the oxygen and carbon dioxide content in the arterial blood? (b) Describe how the obstructive lung disease can be diagnosed by the spirometer. (c) Mr. Chan’s lungs show a progressive destruction that is a form of COPD. (i) What is the name of the lung disease describing this form of COPD? (ii) Describe and explain the change in lung compliance, airway resistance and pulmonary ventilation. (d) Give one COPD exacerbation that Mr. Chan may experience. How can it affect pulmonary function?
Stan has poorly controlled chronic obstructive pulmonary disease and has suffered from frequent bouts of aspiration pneumonia. During your clinical evaluation at bedside, you notice that Stan is on oxygen and exhibits a rapid breathing rate. He complains of dyspnea, or air hunger, during tidal breathing that worsens upon physical exertion. Stan also complains that his dyspnea worsens during meals. Given Stan's history of frequent aspiration pneumonia, what reason might consider as a primary cause?
The young man suffers an infarction or death of a portion of his lung tissue. Absent blood flow to a lung segment causes: 1. Surfactant impairment 2. Absorption atelectasis 3. Collateral ventilation of the alveoli 4. Bronchiectasis
This patient’s dysphonia is due to laryngospasm, which should resolve within 8 to 10 days. If it does not resolve, we will schedule a laryngoscopy to make a further determination.” Explain what the doctor said.
Oxygenation Ms Era Singh is a 39-year old secretary who was admitted to the hospital with an elevated temperature, fatigue, rapid, labored respirations; and mild dehydration. The nursing history reveals that Ms Singh has had a “bad cold” for several weeks that just wouldn’t go away. She has been dieting for several months and skipping meals. Ms Singh mentions that in addition to her full-time job as a secretary she is attending college classes 2 evenings a week. She has smoked one package of cigarettes per day since she was 18 years old. Chest x-ray confirms pneumonia. The care plan appropriately focuses on the acute care of this client. Once she is significantly improved, the nurse will perform discharge teaching. What areas should be included? It appears that the client’s sputum has not been cultured. In caring for this client, what infection control guidelines would be needed? Ms Singh’s oxygen order is for a face mask at 6 L/min. She repeatedly pulls it off and you find it lying…
A patient experiences difficulty exhaling after taking a normal, full breath during a test of pulmonary function. Which of the following is (are) TRUE? A) This condition may have decreased the elastic recoil of the lungs. B) The patient likely has an obstructive lung disorder. (c) The patient likely has a restrictive lung disorder. This patient will have a normal forced expiration. E This patient will likely show a normal FEV1.
Mrs. Jones, a 59-year-old white female greeted you at the door with complaints of shortness of breath after cleaning her dusty closet. You are seeing her for a home visit because she was just discharged from the hospital for exacerbation of her chronic obstructive pulmonary disease (COPD). She had similar symptoms approximately a week and a half ago from an exacerbation of her COPD. Mrs. Jones past medical history is significant for coronary artery disease, myocardial infarction, COPD, hypertension, peripheral vascular disease, tobacco usage, and obesity. You heard wheezing on expiration when you auscultated her chest. The patient has two metered dose inhalers (MDI) prescribed to her- Proventil inhaler 2 puffs every 4-6 hours and Beclomethasone Dioprionate inhaler two puffs, once daily. Her other medications aside from the MDI's, include hydralazine 50 mg by mouth, 3 times per day, hydrochlorothiazide 25 mg by mouth daily, aspirin 81 mg by mouth daily, clopidogrel 75 mg by mouth daily,…
Alan has been smoking for the past 20 years and has been experiencing some shortness of breath and a cough. His physician, Dr. Anthony, sees him. The physician orders a lung capacity test and a chest X-ray. Is there any surgical procedure for emphysema?