01 Jun The patient is a 21 year old college student brought to the emergency department by his friends when he was found unconscious during a fraternity party.
Question
Discussion 2.1 – Case Study One
The patient is a 21 year old college student brought to the emergency department by his friends when he was found unconscious during a fraternity party. He was seen drinking heavily at the party and had not eaten for 2 days before the event. He takes no prescription drugs, and his current vital signs are T = 97.8, P = 48, slightly irregular and thread; R = 28, deep and regular; B/P = 88/50; His arterial blood gas results are pH = 7.31, HCO 3 = 25 mEq/L; PaCo2= 28 mm Hg; PaO2 = 99 mm Hg.
What specific type of acid-base problem does this patient have? Explain.
What is the most probable origin of the acid-base imbalance?
Should oxygen be applied? Why or why not?
What nursing interventions for safety are most appropriate for this patient?
What additional laboratory and assessment data should be performed? Provide a rationale for your answer.
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