An adolescent child assessed by the nurse is found to have extreme lethargy, retractions of the intercostal spaces, a persistent expiratory wheeze, diminished breath sounds, tachycardia, and tachypnea. arterial blood gas results are as follows: ph 7.10; pco2 80; po2 35, hco3 29. what is the priority problem the nurse must address immediately?

Question

Biology

Judith Hess

6 March, 15:11

An adolescent child assessed by the nurse is found to have extreme lethargy, retractions of the intercostal spaces, a persistent expiratory wheeze, diminished breath sounds, tachycardia, and tachypnea. arterial blood gas results are as follows: ph 7.10; pco2 80; po2 35, hco3 29. what is the priority problem the nurse must address immediately?

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Rachel · Answer 1

These are indications of a patient that is about to go into some form of shock ... As an EMT i would say the patient needs to be placed on oxygen, so as to bring up the pH ... You need to address the diminished breath sounds, the tachycardia and tachypnea.