Highlights
Task:
Gg- IOW 0.60mmol/L (0 70-1 lOmmol "t__ b.EGL 9-°n1n1°//1- on • eta-agist- Salbutamol ,161 A• nticholinergic - Atrovent AIVE3GHYscihro°,c:srtrep ts:n,eratory acidosis. (PH 7_32. PaCO2 49, Pa02 70, HCO3 27, BE -2 1, Lactate 1 4)
all other Pathology is normal
Keep 5[302 92-95%% - Beta- antagonist Salbutamol continuous via nebuliser - Anticholinergic 1pratropium bromide (Atrovent) 500ug 4/24 — Hydrocortisone 100mg 6/24 _ Mg504 4mmol, 20 minutes IVF 53m1/hr — Repeat ABGs in lhour — Monitor BGL — Peak flow spirometry
Question 1 Explain the pathogenesis causing the clinical manifestations with which Peter presents-
Question 2
1. Sit Peter in a High Fowlers position — How does positioning a patient with acute asthma in a High Fowlers position assist to alleviate respiratory distress?
1 Apply and titrate oxygen
— What oxygen delivery device will you use? — Why did you choose this device? — How does providing supplemental oxygen work and, how will it assist Peter?
Question 3 For each medication below explain
— hy your patient is receiving this medication in relation to her symptoms and diagnosis? W — The mechanism of action — edication? What are the nursing considerations for this m — What clinical response you expect? — What continuing clinical observations will you need to undertake?
Salbutamol via nebuliser Hydrocortisone IV 1pratropium Bromide via nebuliser
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