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LAB RESULTS

Arterial Blood Gas


- An arterial blood gas analysis (ABG) measures the balance of oxygen and
carbon dioxide in the blood to see how well the lungs are working. It also measures the
acid-base balance in the blood. When there is an imbalance, the blood has too much acid
(acidosis) or too much base (alkalosis).

MEASURED RESULTS REFERENCE JUSTIFICATION


TESTS RANGE

pH 7.43 7.35-7.45 The pO2 stands for


pCO2 40mmHg 35-45 Partial Pressure of
pO2 (L) 76mmHg 80-100 Oxygen in the
TEMP 37 blood. Decreased
pO2 levels may
indicate decreased
oxygen in the
inhaled air,
pulmonary diseases
or heart
decompensation. In
CVA, there is a
decrease level of
oxygen in the blood.

Calculated tests

BEecf (H) 2.2 The BEecf, HCO3-


BE(B) 2 -2 - +2 concentration, and
HCO3 26.5 21-27 TCO2 concentration
TCO2 (H) 27.7 19-24 all serve as
SO2C 95 95-100 measures of the
metabolic
component of the
patient's acid-base
status, whereas
Pco2 evaluates
ventilation and
represents the
respiratory
component of the
acid-base status.
High values of
BEecf and TCO2
may indicate
metabolic alkalosis.
Vomiting can be a
factor leading to
metabolic alkalosis.

SYMPTOMATOLOGY

SYMPTOM PRESENT RATIONALE JUSTIFICA


TION
Numbness or The patient may become paralyzed on Face
weakness in the one side of his/her body, or lose control drooping
face, arm, or leg, of certain muscles, such as those on one was noted
especially on one side of the face or one arm due to the with a chief
side of the body lack of blood flow to the brain and complaint of
which part was affected. right sided
weakness.
http://www.mayoclinic.org/diseases-
conditions/stroke/symptoms-
causes/dxc-20117265

Confusion, A stroke may cause the patient to have Slurred


trouble speaking, less control over the way the muscles in speech and
or difficulty the patients mouth and throat move, tongue
understanding making it difficult for the patient to talk deviation to
speech clearly (dysarthria), swallow or eat the left was
(dysphagia). The patient also may have noted upon
difficulty with language (aphasia), assessment.
including speaking or understanding
speech, reading or writing.

http://www.mayoclinic.org/diseases-
conditions/stroke/symptoms-
causes/dxc-20117265
Trouble seeing in CVA may take the form of total loss of Patient
one or both eyes vision in one eye, or loss of vision in didnt
half the visual field of each eye, or complain
double vision. If the part of the brain about any
that controls and receives information visual
from the eyes is affected by the stroke, disturbances
then this can cause problems .
withvvision.

http://brainfoundation.org.au/disorders/s
troke
Trouble walking, A stroke can affect the way muscles The patient
dizziness, loss of work. The brain sends signals to the arrived in
balance, or lack muscles, through the nerves, to make the hospital
of coordination them move. A stroke can damage the via an
brain and affect these signals. ambulance
of the 911.
https://www.stroke.org.uk/what- The 911
stroke/common-problems-after- rescue team
stroke/problems-movement-and-balance delivered
the patient
through a
stretcher.

Severe A sudden, severe headache, which may Upon initial


headache accomp be accompanied by vomiting, dizziness assessment,
anied with or altered consciousness, may indicate the patient
vomiting with no that the patient is having a stroke. The complained
known cause patient may have headaches if the stroke that she had
causes swelling in the brain or bleeding. headaches
and that she
https://www.stroke.org.uk/what- vomited.
stroke/common-problems-after-
stroke/pain-and-headaches