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icang [17]
3 years ago
5

Josh arrives to give Mr. Wilson his medication. As he enters the room, Josh notices that Mr. Wilson is staring fixedly at a pain

ting on the wall. He then turns to Josh, starts cursing and accuses Josh of trying to poison him by giving him the wrong medication. He starts to flail his arms in an attempt to swat Josh. What should Josh do next?
Medicine
1 answer:
Ivan3 years ago
8 0
He should try to calm him down. Once he calmed down, he can try to talk to him.
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A 68-year-old female who was admitted with shortness of breath. On your arrival, the patient appears drowsy and is on 10L of oxy
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Answer:

Arterial blood gas (ABG) results from a 68-year-old woman with difficulty breathing show:

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whose interpretation is: <u>respiratory acidosis</u>.

Hypercapnia can produce symptoms such as confusion, drowsiness or lethargy, headache, nausea and vomiting and, in severe states, can cause severe unconsciousness and coma.

Explanation:

Respiratory acidosis is due to a failure in the breathing process that produces <u>hypoventilation</u>, decreasing the partial pressure of oxygen (PaO₂) —hypoxemia— and increasing the partial pressure of CO₂ (PaCO₂), called hypercapnia.

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  • <u><em>Hypoxemia</em></u><em> is the decrease of PaO₂ below 60 mmHg.</em>
  • <u><em>Hypercapnia</em></u><em> is the increase of PaCO₂ in ABG above 45 mmHg.</em>
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<u>Hypercapnia mainly affects the nervous system</u>, producing symptoms that alter the state of consciousness of the affected, also producing headache and even nausea and vomiting.

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