Page 121 - Demo

Clinical Scenarios: Respiratory Acidosis vs. Respiratory Alkalosis%u2022 Respiratory Acidosis Scenarios:%u2022 COPD Exacerbation: A 65-year-old smoker with known COPD presents with worsening shortness of breath, productive cough, and confusion. ABG shows pH 7.30, PaCO2 55 mmHg, PaO2 60 mmHg.%u2022 Opioid Overdose: A 30-year-old is brought to the ER unconscious. Pinpoint pupils and slow respiratory rate are noted. ABG reveals pH 7.25, PaCO2 60 mmHg, PaO2 70 mmHg.%u2022 Severe Obesity Hypoventilation: A 45-year-old obese patient (BMI 45) complains of daytime sleepiness and morning headaches. Sleep study and ABG show pH 7.32, PaCO2 52 mmHg, PaO2 65 mmHg.%u2022 Respiratory Alkalosis Scenarios:%u2022 Anxiety Attack: A 25-year-old presents with rapid breathing, chest tightness, and tingling in fingers. ABG shows pH 7.48, PaCO2 30 mmHg, PaO2 100 mmHg.%u2022 High Altitude Sickness: A 35-year-old mountain climber develops headache and dizziness at high altitude. ABG reveals pH 7.50, PaCO2 28 mmHg, PaO2 60 mmHg.%u2022 Salicylate Poisoning (Early Stage): A 20-year-old is brought in after intentional aspirin overdose. Initial ABG shows pH 7.48, PaCO2 32 mmHg, PaO2 95 mmHg.%u2022 Mechanical Overventilation: An intubated 50-year-old post-surgery patient's ABG shows pH 7.52, PaCO2 25 mmHg, PaO2 110 mmHg, indicating excessive ventilator settings.