Mr. Lewis, a 46-year-old male, was shot on the right side of thechest. He is currently in the progressive care unit. His arterialblood gases are as follows: pH 7.30, PaO2 88 mm Hg, PaCO2 50 mm Hg,HCO3 26 mEq/L.
1. Does Mr. Lewis have an acid-base imbalance? If so, what typeof imbalance?
2. What likely caused Mr. Lewis to have this condition? Explainthe pathophysiology for the likely etiology of the imbalanceidentified in #1.
3. Mr. Lewis’s condition continues to deteriorate. What actionsshould be taken to restore Mr. Lewis’s acid-base balance? Identify3 pharmacologic and 4 nonpharmacologic interventions.
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