NURS 161 Lecture Notes - Lecture 8: Salbutamol, Respiratory Acidosis, Salmeterol
15 May 2020
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Identify the lab results above that are elevate/abnormal and their clinical significance: Bun/creatinine are elevated - indicating kidney dysfunction. Gfr is moderately low at 45 ml/minute possibly mild to moderate kidney failure probably from his htn and dm being uncontrolled. Glucose high 165 type ii diabetic and albuterol use, if unmanaged could make his comorbidities worse. Potassium low 3. 2 due to prolonged albuterol use and possibly respiratory acidosis from copd, could make him feel weaker. Calcium high 9. 5 possibly metabolic alkalosis from hypokalemia and copd, or just a parathyroid issue, could be the reason for the lower back pain. Wbc/neutrophils/lymphocytes/bands abnormal there is an infection present. Cxr abnormal lower lobe infiltrates indicate possible pneumonia. What is the most likely cause of mr. Assess more closely: monitor for sepsis and control the infection so it does not progress. Monitor core temperature so it does not elevate. Auscultate lungs sounds more often, observing for crackles in lower lobes from pneumonia.
