G.a Mg- low 0.60mmol/L (0.70-1.10mmol/L) all other pathology is normal.b. BGL 9.0mmol/Lc. Beta-agonist- Salbutamold. Anticholinergic – Atrovente. IV Hydrocortisonef. ABG shows respiratory acidosis, (PH 7.32, PaCO2 49, PaO2 70, HCO3 27, BE -2.1,Lactate 1.4)PlanKeep SpO2 92-95%%Beta- antagonist Salbutamol continuous via nebuliserAnticholinergic Ipratropium bromide (Atrovent) 500ug 4/24Hydrocortisone 100mg 6/24MgSO4 4mmol/20 minutesIVF 53ml/hrRepeat ABGs in 1hourMonitor BGL Peak flow /spirometryQuestion 1Explain the pathogenesis causing the clinical manifestations with which Peter presents.Question 2 Sit Peter in a High Fowlers position How does positioning a patient with acute asthma in a High Fowlers position assist to alleviate respiratorydistress? Apply and titrate oxygen What oxygen delivery device will you use?Why did you choose this device?How does providing supplemental oxygen work and, how will it assist Peter?Question 3For each medication below explainThe mechanism of actionWhy your patient is receiving this medication in relation to her symptoms and diagnosis?What are the nursing considerations for this medication?What clinical response you expect?What continuing clinical observations will you need to undertake?Salbutamol via nebuliser >Hydrocortisone IV 7Ipratropium Bromide via nebuliser +SubmissionRefer to Section 2.5 of the Learning Guide- General Submission RequirementsSubmit your assessment through Turnitin10
