Patient Profile Jordan Washington, age 64, has chronic obstructive lung disease caused by a long history of smoking ciga

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Patient Profile
Jordan Washington, age 64, has chronic obstructive lung disease caused by a long history of smoking cigarettes. She is currently hospitalized because she complains of shortness of breath. His arterial blood gases are pH 7.24, pCO2 68mmHg, HCO3 25.
Discussion Questions:
1. Explain the pathophysiology of how her acute and/or chronic lung condition affects oxygenation and contributed to her acid-base imbalance?
2. What acid/base disturbance is she experiencing? Explain how her lab values assisted in determining the type of acid-base imbalance.
3. Explain how her body will compensate for her acid-base imbalance.
A chest x-ray was completed. Mrs. Washington is diagnosed with pneumonia and an antibiotic was ordered.
Mrs. Washington states she is unsure if she has any known allergies. Her past medical history indicates she had asthma as a child. She tells you when she was a child, she experienced itching after taking a pill, but she cannot recall the name of the pill.
You start Mrs. Washington's intravenous (IV) and perform a saline flush. You begin infusing the IV antibiotic. Within three minutes, she states that her skin itches, and a few minutes later she begins to complain of tightness in her throat and difficulty breathing.
Subjective Data
Objective Data
Discussion Questions
4. What type of altered immune response is Mrs. Washington experiencing?
5. What is the apparent causative factor and what were potential sources of exposure?
6. What were her risk factors for this type of reaction?
7. How would you explain the pathophysiologic response of allergic reaction to Mrs. Washington's family? Use language the family will understand.