Purpose:
To analyze alterations in pulmonary function and fluid/electrolyte balance, demonstrating the ability to interpret clinical manifestations and anticipate complications relevant to clinical practice.
Instructions:
Diagnostic Case Write – Mr. M.P., a 68-year-old White Hispanic male with a history of COPD, presents with worsening shortness of breath, productive cough, and fatigue for 3 days. He appears drowsy and is using accessory muscles to breathe.
Vitals: HR 110, RR 28, BP 148/88, Temp 100.4F, SpO 82% RA 90% on 2L NC
ABG Results:
- pH: 7.30
- PaCO: 60 mmHg
- HCO: 26 mEq/L
- PaO: 55 mmHg
- Determine if the disorder is acidosis/alkalosis, metabolic/respiratory, and whether it is compensated.
- Explain the physiological process that led to these ABG results in COPD exacerbation.
- List two alternative conditions that could produce similar findings.
- Outline immediate nursing interventions and advanced practice considerations.
Submission Instructions:
- Submissions (at least 2-3 pages excluding the title and reference pages) supported by at least two current scholarly sources
Requirements: Submission Instructions: Submissions (at least 2-3 pages excluding the title and reference pages) supported by at least two current scholarly sources

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