How does the underlying pathophysiology relate to P.R.’s presenting signs and symptoms?
P.R., a 66-year-old woman who has no history of respiratory disease, is being admitted to your intensive care unit (ICU) from the emergency department (ED) with a diagnosis of pneumonia and acute respiratory failure (ARF). The ED nurse tells you that P.R. was stuporous and cyanotic on her arrival to the ED. Her initial vital signs were 90/68, 134, 38, 101° F (38.3° C) with and Spo2 of 53%. She was endotracheally intubated orally and placed on mechanical ventilation and has equal breath sounds. Her ventilator settings are synchronized intermittent mandatory ventilation of 12/min, tidal volume (VT) 700 mL, Fio2 0.50, positive end-expiratory pressure (PEEP) 5 cm H2O. The nurse tells you P.R. had an initial chest x-ray (CXR) examination that confirmed the diagnosis of pneumonia, but she needs an additional CXR examination stat.
Answer:
P. R is having
* cyanosis,
* stuper
* hyper thermia, 101degree f.
* hypotension 90/68 mm of hg
* tachycardia ,134 b/ mit
* tachypnea, 38 b / min
* Low oxygen saturation level that is 53% of spo2.
It indicates the client is having a severe infection with pneumonia. And also sepsis.
Due to severe infection and inflammation of the lung parynchyma the pneumonia may occurs.
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