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Discussion

SO CONFUSED

K so im working on my first case study and am a tad bit lost... heres the scenario:

Patient is diabetic, had cancerous tumor removed one day ago... complains of nausea. Several hours later, she was found nconscious with Cheyene-Stokes respirations, Pulse 67, BP 60 systolic, ABGS drawn: Ph 7.13 HCO3 19.8 O2 sat 18.4% (IS THIS EVEN POSSIBLE?) PaCO2 59.5 PaO2 18.8

Ive been trying to find data and assess the situation but am getting discouraged really easily. Im trying to figure out what a diagnosis for this could be... I ws thinking respiratory acidosis due to the increased PaCo2 level and her bicarbonate level being low....

any suggestions? Anything would help.

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    Ineffective Tissue Perfusion?

    Also, did it say where the tumor came from? If it was from the brain then I would say it definately affected the respiratory centers of the brain

    The main priority is to regain homeostasis and fix the underlying cause of the Cheyene Stokes respirations. Remember ABCs (Airway, Breathing, Circulation)

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    Think holistically, don't get caught up in what's going on with her "medically". I would suggest you get your nursing diagnosis book and start looking through it for possible diagnoses. The above mentioned impaired tissue perfusion is on the right track.

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