J.T. a 08-year-old man complained of severe chest pains that radiate down the inside of his...

 

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J.T. a 08-year-old man complained of severe chest pains that radiate down the inside of his left arm. Shortly afterward, he collapsed on the bedroom room floor. Paramedics arriving at his house just minutes later found him unconscious. Upon arrival at the Emergency Room, J.T. regained consciousness, complaining of continued chest pain. Physical Exam his vital signs were as follows Test Systemic blood pressure Heart rate Normal values 120/80 80-100 bpm J.T's values 85/50 145 bpm 32 breaths /min Respiratory rate Temperature 12-18 breaths/ min 08.6'F 09 2'F • His breathing was rapid (tachypnea) and labored, his pulse was rapid and weak everywhere. and his skin was cold and clammy. An EKG was done, revealing significant "Q" waves in most of the leads. Biood testing revealed markediy elevated cardiac troponin levels. Questions 1. What is the primary diagnosis of JT's condition? What evidence supports your diagnosis? Next. arterial blood was sampled and revealed the following Arterial Blood Gas (ABG) and Serum Lactate analysis Test Normal values JT's values 7. 35-7 45 35-45 mm Hg 80-100 mm Hg pH 7.02 21 mm Hg 65 mm Hg PCO, Hemoglobin - O, saturation [HCO) Arterial lactate >95% 88% 22-26 meg / liter 8 meg /liter 8.4 mmol / liter <2 mmolliter 2 How would you classify his acid-base status? Respiratory Acidosis /Respirstory Alkalopie /Metabolic Acidosia /Metaboiic Alkalosis 3. 3. ExamineJ.T.'s arterial lactate levels. How wouldJ.T.s oondition causes the observed change in his arterial lactate levels? How might this change in lactate levels contribute to his acid-base disturbance? 4. How has his body started to compensate for this acd-base disturbance? How would this change help alleviate his acid-base imbalance? 5. In the emergency room,J.T. received an IV to treat his acid-base disturbance. What type of IV would be ased? Explain how this IVwould help restone acid-base balance. J.T. a 08-year-old man complained of severe chest pains that radiate down the inside of his left arm. Shortly afterward, he collapsed on the bedroom room floor. Paramedics arriving at his house just minutes later found him unconscious. Upon arrival at the Emergency Room, J.T. regained consciousness, complaining of continued chest pain. Physical Exam his vital signs were as follows Test Systemic blood pressure Heart rate Normal values 120/80 80-100 bpm J.T's values 85/50 145 bpm 32 breaths /min Respiratory rate Temperature 12-18 breaths/ min 08.6'F 09 2'F • His breathing was rapid (tachypnea) and labored, his pulse was rapid and weak everywhere. and his skin was cold and clammy. An EKG was done, revealing significant "Q" waves in most of the leads. Biood testing revealed markediy elevated cardiac troponin levels. Questions 1. What is the primary diagnosis of JT's condition? What evidence supports your diagnosis? Next. arterial blood was sampled and revealed the following Arterial Blood Gas (ABG) and Serum Lactate analysis Test Normal values JT's values 7. 35-7 45 35-45 mm Hg 80-100 mm Hg pH 7.02 21 mm Hg 65 mm Hg PCO, Hemoglobin - O, saturation [HCO) Arterial lactate >95% 88% 22-26 meg / liter 8 meg /liter 8.4 mmol / liter <2 mmolliter 2 How would you classify his acid-base status? Respiratory Acidosis /Respirstory Alkalopie /Metabolic Acidosia /Metaboiic Alkalosis 3. 3. ExamineJ.T.'s arterial lactate levels. How wouldJ.T.s oondition causes the observed change in his arterial lactate levels? How might this change in lactate levels contribute to his acid-base disturbance? 4. How has his body started to compensate for this acd-base disturbance? How would this change help alleviate his acid-base imbalance? 5. In the emergency room,J.T. received an IV to treat his acid-base disturbance. What type of IV would be ased? Explain how this IVwould help restone acid-base balance.

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1 From the physical examination of the patient JT it can be observed that his heart and respiratory rates are high with a weak pulse and rapid breathi... View the full answer