Explain what is significant with her lab results using the ABG normal values and the nursing mnemonic ROME which was also referenced in week #2 of this course.

Science by Geoffrey

Pathophysiology

Part 1: Discussion

Answer the following questions about the respiratory system, using the included case study, for this week’s discussion.

  1. Explain what ARDS is.
  2. Explain what is significant with her lab results using the ABG normal values and the nursing mnemonic ROME which was also referenced in week #2 of this course.
  3. Explain what an appropriate treatment would be.
  4. At least 200 – 250 words

Case Study:

Mrs. Breathless is a 43-year-old female, just getting off the late shift. She reports to the ER in the early morning with shortness of breath. She has cyanosis of the lips. She has had a productive cough for 2 weeks. Her temperature is 102.2, blood pressure 110/76, heart rate 108, respiration 32, rapid and shallow. Breath sounds are diminished in both bases, with coarse rhonchi in the upper lobes. Chest X-ray indicates bilateral pneumonia.

  • ABG (Arterial Blood Gases) Lab results are:
    • pH= 7.44
    • PaCO2= 28
    • HCO3= low
    • PaO2= 54

Note: rhonchi are continuous low pitched rattling lung sounds that often resemble snoring or wheezes.

Problems:

  • PaCO2 is low.
  • pH is on the high side of normal, therefore compensated respiratory alkalosis.
  • Also, PaO2 is low, probably due to mucous displacing air in the alveoli affected by the pneumonia.

Part 2:

This week, you will have the opportunity to unleash your creativity in order to help you and your classmates study.

Assignment Instructions:

For this assignment you will be able to create an infographic or video presentation.

1. Select one of the topics below.

    • Structures of the Pulmonary System, (Chapter 28, p. 655)
    • Functions of the Pulmonary System, (Chapter 28, p. 660)
    • Signs and Symptoms of Pulmonary Disease, (Chapter 29, p. 670)
    • Pulmonary Disorders, (Chapter 29, p. 676)
    • Table 29-1, Mechanism of Pleural Effusion, (Chapter 29, p. 676)
    • Table 29-2, Clinical Manifestations of Chronic Obstructive Lung Disease, (Chapter 29, p. 686)
    • Disorders of the Upper Airway, (Chapter 30, p. 697)
    • Obstructive Sleep Apnea, (Chapter 30, p. 700)

2. Explore the topic and gather the information needed to teach your fellow learners.

3. Please create these items using infographics (Canva.com) or video (Powtoon.com). If you would like to use a different media source, please email your Instructor first for permission