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Case Study-Based Assignment
Pages 7 (1757 words)
Case Study-Based Assignment Question 1 On general physical examination, Bukowskii had increased respiratory rate (22 breaths per minute), deep and laboured breathing and saturations of 89 percent on oxygen of 6L per minute. Respiratory system examination revealed intercostal muscle recession on inspection and diminished air entry to both bases and crepitations in the right base on auscultation.
Practically, a diagnosis of respiratory failure is made in clinical presentation and arterial blood gas analysis. A fall arterial oxygen tension (Pa,O2) of <8.0 kPa (60 mmHg) and an arterial carbon dioxide tension (Pa,CO2) of >6.0 kPa (45 mmHg) or both, is indicative of respiratory failure (Roussos and Koutsoukou, 2003). Respiratory failure may be acute or chronic. In case of Bukowski, the respiratory failure is acute and this is indicated by the drastic change in the acid-base status (pH= 7.3). The cause of respiratory failure in him is the right lower lobe collapse-consolidation secondary to pneumonia. Lower respiratory tract infection is known as pneumonia. The pathology lies in the parenchyma of the lungs which consist of alveolar sacs. There are several causes to pneumonia, the most common of which is bacterial (Stephen, 2009). Bacterial pneumonia can be community acquired or hospital acquired. In case of Bukowski, the pneumonia is hospital acquired. The most common respiratory failure is acute hypoxemic respiratory failure or type-1 which is seen in pneumonia. ...
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