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Bahasa inggrisCase ...Mr. Worried is a 52-year-old widow. He is
retired and living alone. He enters the ED complaining of shortness
of breath and tingling in fingers. His breathing is shallow and
rapid. He denies diabetes; blood sugar is normal. There are no ECG
changes. He has no significant respiratory or cardiac history. He
takes several antianxiety medications. He says he has had anxiety
attacks before. While being worked up for chest pain an ABG is
done:ABG results are:pH = 7,48PaCO2 = 28HCO3 = 22PaO2 = 85Can you
identify the problem and solution for this case ?The diagnose of
this case isRespiratory AlkalosisRespiratory alkalosis is a
condition where the blood is alkaline because rapid breathing and
in causing carbon dioxide levels in the blood is low.CAUSE . .
.Rapid breathing and in the so-called hyperventilation, which leads
to too many amount of carbon dioxide released from the bloodstream.
The cause hyperventilation, which is the most common anxiety.Other
causes of respiratory alkalosis is:- Pain- Cirrhosis of the liver-
Low blood oxygen levels- Fever- An overdose of aspirin.The
symptomsRespiratory alkalosis can make people feel anxious and can
cause itching around the lips and face. If the situation gets
worse, it could happen muscle spasms and loss of
consciousness.DiagnosisDiagnosis based on the results of
measurements of the levels of carbon dioxide in arterial blood.
blood pH is also often increased.The treatmentUsually the only
treatment needed is slow breathing. If the cause is anxiety, slow
breathing can alleviate this disease. If the cause is a pain, given
pain medication.Breath in a paper bag (not plastic bags) can help
increase levels of carbon dioxide after the patient inhaling carbon
dioxide breath back.Another option is to teach the patient to hold
his breath as long as possible, then breathe shallow and hold back
his breath as long as possible. This is done repeatedly in a series
as much as 6-10 times. If carbon dioxide levels rise,
hyperventilation symptoms will improve, thus reducing patient
anxiety and stop attacks respiratory alkalosis.Nursing
interventionsIndependent
Monitor the amount of breathing, depth and effort / difficulty
breathing patients (nostrils, ETC.)Make sure the cause
hyperventilation if possible such as anxiety, painAssess the level
of awareness and record the status of neuromuscularTeach patients
how to breathe correctly and help if the patient on a ventilator,
for example masksHelp the patient to be calmGive safety when
necessary, eg the bed is lowered, the barrier beds and frequent
observation
2. Collaboration
Help to identify / treat in accordance with the causeMonitor
blood gas analysisMonitor serum potassiumGive sedative if
indicatedUse a respirator mask to maintain / restore CO2. Reduce
respiratory rate / tidal volume with ventilator toolsThank You
