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Multidemissional care

Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.

Tony’s ABG results:

pH 7.28

PaCO2 – 55 mm Hg

PaO2 – 70 mm Hg

HCO3 – 30 mEq/L

Instructions
In a 1-2 page Word document:

Determine Tony’s acid-base imbalance
Describe possible causes of the imbalance
Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
List the multidimensional care strategies that are appropriate for the care of Tony

Sample Solution

Why Smoking Shisha is Harmful GuidesorSubmit my paper for investigation customary shishaAlthough smoking tobacco is viewed as an enemy of social and unfortunate propensity practically around the world, there are as yet innumerable smokers who keep accepting there is nothing awful in breathing in smoke that contains nicotine and cancer-causing tars. A considerable lot of them, so as to veil their dependence on nicotine, or trying to stop smoking cigarettes, change to different types of nicotine utilization—specifically, shisha smoking. They guarantee shisha to be less hurtful for wellbeing, and progressively worthy from the social perspective, since shisha smoke regularly has a natural product season, in contrast to cigarettes. Be that as it may, there is solid proof that smoking shisha is substantially more hurtful for a smoker's wellbeing than customary cigarettes or funnels. As per various research examines, the smoke one breathes in through a shisha pipe contains significant levels of wellbeing harming substances. Specifically, a shisha smoker breathes in a mixed drink of tar, carbon monoxide, cancer-causing agents, some overwhelming metals, and other exceptionally dangerous mixes. Right now, isn't excessively unique in relation to a cigarette; delayed smoking of it prompts lung malignant growth, oral disease, heart and vascular infections, emphysema, and other commonplace sicknesses all smokers grow at some point or another (Mayo Clinic). What is additionally upsetting, be that as it may, is that a standard shisha smoker makes a lot further breathes in, which consequently expands the measure of these substances in their body. To be exact, shisha is typically being smoked for around one hour and that's only the tip of the iceberg, and during this timeframe, an ordinary smoker does roughly 200 puffs; simultaneously, smoking a cigarette takes around five minutes and 20 puffs; scientifically, the volume of destructive smoke breathed in by a shisha smoker during one session is around multiple times bigger. A shisha smoker breathes in 90,000 milliliters of smoke during one session, contrasted with just 500 milliliters breathed in by a cigarette smoker. This permits to expect that one session of smoking shisha is about as hurtful as smoking a pack of cigarettes (CDC). Among the quick wellbeing impacts that a shisha smoker—particularly an unpracticed one—may feel after one session are serious migraines, discombobulation and sickness, the absence of coordination of developments, torment in the chest, and expanded heartbeat and breath. There is likewise no assurance that channels are appropriately cleaned after past smokers; in spite of the fact that in numerous shisha bars, clients utilize uncommon mouthpieces, it doesn't forestall salivation invading into the funnel. Shisha can shape a solid habit—a lot more grounded than cigarettes—because of expanded portions of nicotine a smoker expends. Also, shisha smoke isn't so terrible smelling and stifle actuating as the smoke of customary cigarettes (actually, it is smooth and scents like mint or natural product), so it is simpler to build up a propensity for smoking shisha normally. Every one of these realities demonstrate the explanation that shisha is in certainty a more hazardous propensity than standard tobacco smoking. It doesn't mean it is smarter to smoke cigarettes, but instead that one ought not smoke by any means. Shisha smoke contains a tremendous measure of cancer-causing agents, overwhelming metals, carbon dioxide, and tar, and during one smoking session, a shisha smoker expends immense measures of smoke containing these toxins. Smoking shisha can prompt extreme cerebral pains, sickness, issues with heartbeat, etc. Additionally, nobody can ensure that shisha pipes are appropriately purified after the utilization of past smokers. This settles on shisha an awful decision for those trying to substitute customary cigarettes. References Feeds, Taylor J. "Is Hookah Smoking Safer than Smoking Cigarettes?" Mayo Clinic. N.p., n.d. Web. 18 Sept. 2015. "The Dangers of Hookah Smoking." Centers for Disease Control and Prevention. Habitats for Disease Control and Prevention, 05 Dec. 2013. Web. 18 Sept. 2015. condition exposition, paper points, h
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