A patient with a 10-year history of chronic bronchitis and an ...

[laurencescou]

A patient with a 10-year history of chronic bronchitis and an acute viral pneumonia exhibits the following blood gas results breathing room air: pH = 7.22; PCO2 = 67; HCO3 = 26; PO2 = 60. Which of the following best describes this patient's condition?
 
  a. Chronic hypoxemic respiratory failure
  b. Acute hypercapnic respiratory failure
  c. Chronic hypercapnic respiratory failure
  d. Acute hypoxemic respiratory failure

Question 2

Which of the following indicate severely impaired oxygenation requiring high FiO2s and positive end expiratory pressure?
 
  1. PaO2PaO2 greater than 350 mm Hg on 100 O2
  2. VC less than 10 ml/kg
  3. PaO2/FiO2 less than 200
  4. PaCO2 greater than 45 mm Hg
  a. 1 and 4 only
  b. 1 and 3 only
  c. 2 and 3 only
  d. 1, 2, and 4 only

[voltaire123]

Answer to Question 1

ANS: B
Assessment of the pH allows a determination of whether the problem is acute or chronic.

Answer to Question 2

ANS: B

[laurencescou]

Wow, this really help

[shailee]

Thanks for the timely response, appreciate it