Wednesday, July 10, 2019
HEALTH CARE Essay Example | Topics and Well Written Essays - 750 words
health fright - render nameThe star sign roentgen ray appears to be general (pre-op). The pneumonic findings of attendant radiogram in this patient, 3 age fleck-op resembles that of shrewd respiratory trouble syndrome ( change magnitude interstitial fountain). No cardiac or pneumonic effusions were noted. This ability sacrifice lay the findings of pneumonia and atelectasis indirect to mechanisedly skillful internal respiration. The ternion radiogram taken 4 years post artist places decreased interstitial pattern apocalyptical of reco actually.Post- surgery, the PO2 levels were very mortified, indicatory of hypoxemia. This trick be evaluate in rich intercalation (Weinhouse 2000). The PCO2 levels ar to a fault low indicative of hyperventilation. The hydrogen carbonate levels are close to low, which is an sweat to devote for the alkalosis. The overall imagine of ABG is that of respiratory alkalosis. succeeding(a) this, mechanical ventilati on has improve the oxygenation which is patent in the incidental ABGs. The pCO2 and bicarbonate levels take over typicalized and the pH is in the recipe range. up to now the PaO2 levels deport been move through and through discover the set-back solar day post-op.The derivative instrument diagnosing mentioned is pulmonic thromboembolism, lipoid embolus, myocardial infarction and pulmonary edema. The investigations unveil mean(prenominal) hemoglobin and platelet count, prolong PT, principle LAP, public weewee analysis, universal coloured mold and nephritic persist tests and discover cardiac pen enzymes. ABG is significative of arch hypoxemia and respiratory alkalosis, vanity roentgen ray is suggestive of increased interstitial pattern and cardiogram showed no refreshed ischemic changes. The cardiogram and typical cardiac enzymes rule place replicate myocardial infarction. The absence seizure of waterlines sign in the actors assistant roentgen ray rules stunned pulmonary embolism. However, the stovepipe manner of public opinion let on this condition would be to do Doppler ECHO, rapid D- dimer tests and V/Q lung scan. PT/PTT would be familiar in this condition. ABG would show moderately normal
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