Lbarrien

Thank you Jolie!! I just got extremely confused with those labs and I'm not very familiar with peds, but again THANKS!! :)

Below is the rest of the assessment. I need to answer this "Discuss the meaning of the ABG results and implications for Mary Renee’s care." General Information: Mary Renee is a 3 month old with a 4 day history of upper respiratory infection. She was seen at a clinic today and diagnosed with (RSV). Due to severe respiratory distress she was admitted to PICU this morning. Physical Examination: On assessment the nurse notes: General survey- Pale, in obvious acute distress- crying initially Vital Signs: T-100 P-166 R-44 BP- 82/44 O2Sats- 88% on 4 L Oxygen Neurologic- crying, does not console Cardiac- tachycardia Respiratory- acute respiratory distress, wheezing, coorifice breath sounds, intercostals and supra-sternal retractions, nasal flaring, copious secretions Integument- pale, moist, mottled Musculoskeletal- MAE initially but later becomes lethargic with decreased movement Gastrointestinal- abdomen soft, tympany on percussion from air Genitourinary- voids in diaper- no problems Psychosocial- inconsolable… Physician’s Admission Orders Continuous pulseoximetry O2 to keep Sats above 93% Chest x-ray PA and left lateral. Notify M.D. for body temperature over 100°F. NPO Albuterol 0.083% q 2 hours via HHN Laboratory Results : White blood cells9.000/mm3 Red blood cells 8.54 mil/mm3 Hemoglobin 12.8 g/% Hematocrit36% Platelets243 mm3 Arterial Blood Gas: PH- 7.33 PaO2- 60 PaCO2- 40 HCO3- 28

Thanks everyone that helped alot!! I now understand the concept and I truly appreciate everyone's help.

Compensating? If so what does that mean?

I saw that but I'm confused about these lab values. The HCO3 is suppose to be decreased with the pH in order to be metabolic acidosis, but its increased and the PaCO2 is normal so there it cant be respiratory alkalosis, respiratory acidosis, metabolic alkalosis, or even metabolic acidosis. There is no answer and someone told me it means its compensating but idk what they mean and if it is compensating (whatever that means) what is it called metabolic or respiratory?? I'm lost.

I don't know how to answer this question. Please someone help. I think maybe its respiratory acidosis from compensation, but I really don't know. Help please!! A 3 month old baby with a 4 day history of upper respiratory infection. Diagnosed with RSV. Discuss the meaning of the ABG results and implications for the baby's care. Arterial Blood Gas: PH- 7.33 PaO2- 60 PaCO2- 40 HCO3- 28