Discussion 2.1 – Case
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
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
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