G.S a 66-year-old man that was diagnosed with pneumonia and sent…
Question Answered step-by-step G.S a 66-year-old man that was diagnosed with pneumonia and sent… G.S a 66-year-old man that was diagnosed with pneumonia and sent home with antibiotics. His wife brings him to the ER 2 days later with concerns that he is confused.VS: HR 125, RR 24, BP 80/40, T 102, SaO2 88%Assessment: Patient opens eyes to name. Weak grip.Labs in ER:WBC 15,000, H/H 10/29%, Na 139, KCl 3.7, BUN 37, Creatinine 1.9ABG: pH 7.40, PaCO2 40, Bicarbonate 23, PaO2 70G.S. is admitted to the ICU with a diagnosis of shock and a pulmonary artery catheter (PAC) is placed in the left jugular vein.PAC Values: CVP 6, CO 5, SVR 800, PAP 20He is placed on O2 mask at 50%NS bolus 1 liter over 2 hoursWhat is a PAC and why might the doctor have inserted one (i.e., what will it measure)?What are some complications to monitor for with a patient with a PAC?Looking at the PAC values, what are they measuring and are they within normal limits?After 2 hours in the ICU:CO 3, CVP 10, SVR 10,000, PAP 22MAP of 62Urine output 10 ml in two hoursPatient continues to be drowsy and oriented to person onlyABG: pH 7.33, PaCO2 40, Bicarbonate 20, PaO2 68Labs: WBC 16,000, KCl 5, Na 140, BUN 40, Creatinine 2, Lactic Acid 4Evaluate the hemodynamics, MAP, and Urine output. What are your concerns?Looking at the information you have, what are your top three priority nursing interventions? Health Science Science Nursing MED SURG 175 Share QuestionEmailCopy link Comments (0)
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