Nursing

 

 

o Mr. Appel has severe chronic obstructive pulmonary disease (COPD). He reports increasing dyspnea, increased sputum production, anxiety, weakness and malaise. He routinely takes a diuretic (furosemide) and his pulmonary medications.Patient ValuesElectrolytes MeasurementsSodium (Na+) 140 mEq/LPotassium (K+) 2.0 mEq/LChloride (Cl–) 105 mEq/LArterial blood gases (ABGs): pH – 7.25PCO2 – 78 mm HgPO2 – 60 mm HgHCO3 – 30 mEq/LNormal ValuesElectrolytes MeasurementsSodium (Na+) 136-146 mEq/LPotassium (K+) 3.5-5.1 mEq/LChloride (Cl–) 98-106 mEq/LArterial blood gases (ABGs): pH – 7.35-7.45PCO2 – 35-45 mm HgPO2 – 80-100 mm HgHCO3 – 22-28 mEq/L1. What type of imbalance does Mr. Appel have?2. Interpret his ABGs.3. What would be the treatment?

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