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Benjamin: part
2
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Session
content and facilitator:
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Please make sure you look at the learning
outcomes and references
for this session before you commence work.
What to
do next:
1. What
are your 3 immediate priorities of care
for Ben and why?
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Continued:
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Benjamin
is diagnosed with acute pneumonia. The causative organism is
cultured from Ben’s sputum specimen as staphylococcus aureus.
When you have assessed this
patient, a blood gas sample is indicated.
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Blood gas values are:
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What to
do next:
2. Read
around blood gas analysis. Find out what the normal values are for an
arterial sample of blood. Provide a reference to
support this and post it on the discussion board.
3. How
would you interpret each value of Benjamin’s blood gas results?
4. How
does the body regulate the ph of the blood?
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Continued:
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Ben’s condition continues to
deteriorate and he desaturates further to 88%. He is becoming agitated,
but remains co-operative. It is decided to give him respiratory support.
6. What
methods of respiratory support are available to instigate?
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After
2 hours from the initial onset of his symptoms, Ben’s breathing begins
to deteriorate further. His respiratory rate is now 16/min, it is shallow.
He appears tired, but is still communicating, responsive and co-operative.
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A further blood gas sample is
analysed: |
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Ph = 7.30
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PaO2 = 73mmHg
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PaCO2 = 50mmHg
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Bicarbonate =26mmol/l
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What to
do next:
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Consider
the following:
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How would you interpret each
value of Benjamin’s blood gas results?
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What methods of respiratory
support are available to instigate?
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Analyse how and why these
methods may work?
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What level of care do you
think would be applied for Benjamin’s care? (Reference:
Modernisation Agency- Weaning and long term ventilation. Executive
Summary)
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