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NRN P6566 Week 7 Knowledge Check

1. For the following ABGs, identify the level of hypoxemia, the primary acid-base disorder, and the type of compensation. Example – acute respiratory acidosis with metabolic alkalosis and severe hypoxemia
2. A 54-year-old female has a 30-year pack smoking history. She recently underwent pulmonary function testing which showed moderate obstructive lung disease. What would your treatment plan (including medications) include for this patient?
3. Mr. A is a 25-year-old male who comes to the ER complaining of increasing shortness of breath and upper respiratory symptoms – cough, fever, and progressive dyspnea for three days. On exam he appears cyanotic, has respiratory distress and inspiratory crackles over the left base. RR = 40 CXR – left lobar pneumonia. Temp = 102° and WBC = 17,000. ABG and electrolytes:
4. A 23-year-old male with Type 1 diabetes presents to the ER complaining of fatigue and malaise. He tells you he has skipped his insulin injections the previous two days. His labs are:
5. For the following ABGs, identify the level of hypoxemia, the primary acid-base disorder, and the type of compensation. Example – acute respiratory acidosis with metabolic alkalosis and severe hypoxemia
6. For the following ABGs, identify the level of hypoxemia, the primary acid-base disorder, and the type of compensation. Example – acute respiratory acidosis with metabolic alkalosis and severe hypoxemia
7. A 65-year-old female suddenly becomes hypotensive one day following surgery for a fractured femur. Her ABG before surgery on room air showed a pO2 of 84 and pCo2 of 39.
8. For the following ABGs, identify the level of hypoxemia, the primary acid-base disorder, and the type of compensation. Example2221 GT\]75N.                                                                                          
9. For the following ABGs, identify the level of hypoxemia, the primary acid-base disorder, and the type of compensation. Example – acute respiratory acidosis with metabolic alkalosis and severe hypoxemia
10. A 14-year-old female asthmatic is brought to the ER in moderate respiratory distress. Her PEF is 55% of predicted. What would your immediate medication orders include?