Chemistry, 17.07.2019 02:00 ilovebeans25423

72 yo m with sob for 3 days. hx of htn and cad. receiving 2 l/min of o2 via nasal cannula. temp 37 c, p 110/min, resp 20/min, bp 150/80. bilateral crackles and wheezes. hct is 28%, leukocyte count is 8000. pulmonary artery cath shows cardiac index of 2 l/min (n = 2.5 – 4.2) and a pulmonary artery occlusion pressure of 28. abg shows ph 7.49; pco2 30; po2 58. most appropriate next step in management

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Answer from: RioQNA

I believe the answer is B)Diuretic therapy

The patient has alkalosis(pH 7.49), increased respiratory rate (20/min) and decreased carbon dioxide level(pCO2 30). These findings point to respiratory alkalosis.
The reason for increased respiratory rate probably because of heart failure that is shown by the decreased cardiac index, pO2, crackles, and wheezes. The treatment for congestive heart failure is to decrease the preload and blood pressure by giving a strong diuretic like furosemide.

Answer from: Quest

that's just how they are

explanation:

you can't control another persons decisions, all you can do is ask that they respect yours. relationships are hard because you have to put the effort into making sure that another person feels seen, heard, and loved. as time goes on, it gets easier, you learn how to do these things without thinking. loving them becomes as easy as breathing, but every relationship will have fights, and sometimes it'll feel like you're drowning, but as long as you can talk it out and compromise, because that's truly what loving another person is, is compromise, then you'll be okay. movies and tv shows have glamorized and romanticized (pardon the pun) what a relationship would be like. real relationships aren't perfectly timed kisses in the rain, zero fights until one big one ends everything, 6 month anniversaries. real relationships are sleepy confused kisses when one person has to leave for work earlier than the other, real relationships are having small disagreements, real relationships are messy and confusing, real relationships is knowing that even if you're relationship may not last forever and this may not be the person you're going to spend the rest of your life with, that you love them, and you would do anything to see them happy. so yes, relationships are difficult, but so are many other things, relationships can be amazing but also stressful, and not just romantic i'm also talking about platonic relationships (although the primary example here was romantic) sometimes is best to leave friendships behind, so remember, always do whats going to you be happy in the long run.

Answer from: Quest

i do not get it at all

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72 yo m with sob for 3 days. hx of htn and cad. receiving 2 l/min of o2 via nasal cannula. temp 37 c...

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