Steven Gard Case Study 3 7/18/2012 s2444532 R.S. has smoked for many years and has developed chronic bronchitis‚ a chronic obstructive pulmonary disease (COPD). He also has a history of coronary artery disease and peripheral arterial vascular disease. His arterial blood gas (ABG) values are pH = 7.32‚ PaCO2 = 60 mm Hg‚ PaO2 = 50 mm Hg‚ HCO3- = 30 mEq/L. His hematocrit is 52% with normal red cell indices. He is using an inhaled ß2 agonist and theophylline to manage his respiratory disease
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Case Vignettes in Acid-Base Balance Due Saturday‚ March 16 th Choose three of the four vignettes and BRIEFLY answer the questions that follow. Normal Levels of Substances in the Arterial Blood: pH 7.40 + 0.05 pCO2 (partial pressure of carbon dioxide) 40 mm Hg pO2 (partial pressure of oxygen) 90 - 100 mm Hg Hemoglobin - O2 saturation 94 - 100 % [HCO3-] 24 meq / liter Vignette #1: A 14-year-old girl with cystic fibrosis has complained of an increased cough productive of green sputum over
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Flame test: - Clean wire loop - Dip the tip of the wire loop into solution (If solid‚ dip the tip in DIW then dip the soaked wire loop in to the solid) - Proceed to placing the tip into fire (from Bunsen burner) - Observe - Na+ = bright orange -Cu2+ = green - K+ = Violet (Can be masked by Na+) - Ca+ = Brick Red - H4N+ = no color Cobaltnitrite test for K+: -Heat NH4+ off -In a small test tube/vial‚ or spot plate and place 10-15 drops of solution to test -Then add a drop of 6M HAc and
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1. What clinical findings are likely in R.S. as a consequence of his COPD? How would these differ from those of emphysematous COPD? Chronic bronchitis‚ also known as type B COPD or “blue bloater” in most cases (90%) is caused by cigarette smoking with the typical patient being overweight. It is symptomatically diagnosed with a conformation of chest radiography showing increased bronchial vascular markings‚ congested lung fields‚ enlarged horizontal cardiac silhouette and evidence of previous pulmonary
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CASE STUDY A 49years old white male present to the emergency room complained of choking while eating dinner at the nursing home he resides. He has a significant past medical history of traumatic brain injury‚ Asthma‚ Pneumonia‚ seizure disorder and Spasm quadriparesis. Patient denies shortness of breath‚ chest pain and fever‚ family history is noncontributory. On Physical examination patient is well nourished‚ no signs of distress‚ alert and awake and the vital signs reveal * Blood pressure
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EXERCISE 10: Acid-Base Balance Student Name: Landy Jean-Baptiste Student ID: 4304736 Student instructions: Follow the step-by-step instructions for this exercise found in your lab manual and record your answers in the spaces below. You are only required to perform Activity 1 & 2 in this simulation. Submit this completed document by the assignment due date found in the Syllabus. Rename this document to include your first and last name prior to submitting‚ e.g. Exercise10_JohnSmith.doc
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| |Chemistry paper | | | | | | |Class: Ten |Roll No: |Subject: Chemistry | |Student’s
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NVQ Hairdressing Level 2 H9 Shampoo & Condition Hair & Scalp The word Shampoo Is derived from the Hindustani word meaning ‘Champo’. This means to press or rub Reasons for Shampooing to cleanse the hair and scalp prepare for salon services to treat hair and scalp disorders to remove chemical products Properties Of A Good Shampoo to cleanse the hair and scalp Product should distribute easily easily rinsed from the hair leave hair manageable/shiny will not irritate skin/eyes Types Of Shampoo
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Ocean Acidification SDI: Solubility of CO2 in different temperatures Aim: To observe the solubility of CO2 in different temperatures Hypothesis: We hypothesise that in cold water the level of co2 absorption will be greater than warm water which will mean the air space in the cylinder will be less compared to warm water. Independent: Type of water. Dependant: room temperature‚ amount of water‚ type‚ size and amount of tablet‚ amount of water in the basin. Materials: 250ml graduated
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titrated. In a this reaction of HCl with carbonate‚ the following reactions will take place: CO32- + H+ → HCO3- (2) HCO3- + H+ ← H2CO3 (3) Carbonate ion in aquaeous solutions act as base and is able to accept a proton to form a bicarbonate ion. Bicarbonate ion‚ upon addition of more HCl then combine to another proton to form carbonic acid. Solution mixture of the reaction (2) is alkaline while solution mixture in reaction (3) is acidic. In this case‚ the whole titration should have two breaks
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