Health Medical Homework Help

Pulmonary Function

D.R. is a 27-year-old man, who presents to the nurse practitioner at
the Family Care Clinic complaining of increasing SOB, wheezing, fatigue,
cough, stuffy nose, watery eyes, and postnasal drainage—all of which
began four days ago. Three days ago, he began monitoring his peak flow
rates several times a day. His peak flow rates have ranged from 65-70%
of his regular baseline with nighttime symptoms for 3 nights on the last
week and often have been at the lower limit of that range in the
morning. Three days ago, he also began to self-treat with frequent
albuterol nebulizer therapy. He reports that usually his albuterol
inhaler provides him with relief from his asthma symptoms, but this is
no longer enough treatment for this asthmatic episode.

Case Study Questions

1. According to the case study information, how would you classify the severity of D.R. asthma attack?
2. Name the most common triggers for asthma in any given patients and
   specify in your answer which ones you consider applied to D.R. on the
   case study.
3. Based on your knowledge and your research, please explain the
   factors that might be the etiology of D.R. being an asthmatic patient.

Fluid, Electrolyte and Acid-Base Homeostasis

Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who
has been too ill to get out of bed for 2 days. She has had a severe
cough and has been unable to eat or drink during this time. On
admission, her laboratory values show the following:
• Serum glucose 412 mg/dL
• Serum sodium (Na+) 156 mEq/L
• Serum potassium (K+) 5.6 mEq/L
• Serum chloride (Cl–) 115 mEq/L
•Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/L

Case Study Questions

1. Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?
2. Describe the signs and symptoms to the different types of water
   imbalance and described clinical manifestation she might exhibit with
   the potassium level she has.
3. In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?
4. What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?
5. Based on your readings and your research define and describe Anion Gaps and its clinical significance.

• You must complete both case studies
• Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources.