MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient is being treated for status asthmaticus. Which arterial blood gas analysis does the nurse evaluate that can indicate impending respiratory failure?
A
Respiratory acidosis
B
Respiratory alkalosis
C
Metabolic acidosis
D
Metabolic alkalosis
Explanation: 

Detailed explanation-1: -These absolute numbers should prompt an assessment of arterial blood gas (ABG) immediately. [16] Initial blood gas results indicate respiratory alkalosis with hypoxemia. Therefore, developing respiratory acidosis or elevated PCO2 are indicators of status asthmaticus that indicate the need for ventilatory support.

Detailed explanation-2: -The gold standard for the diagnosis of acute hypoxemic respiratory failure is an arterial pO2 on room air less than 60 mmHg measured by arterial blood gases (ABG).

Detailed explanation-3: -Hypoxemia with normocarbia or hypercarbia and a pH of <7.35 indicates severe asthma and impending respiratory failure.

Detailed explanation-4: -Arterial blood gas (ABG) measurement provides important information in acute asthma. This test may reveal dangerous levels of hypoxemia or hypercarbia secondary to hypoventilation and, hence, respiratory acidosis. However, the typical finding in the early stages of an acute episode is respiratory alkalosis.

Detailed explanation-5: -Tests that should be performed in patients with status asthmaticus include the following: Complete blood cell (CBC) count. Arterial blood gas (ABG) analysis. Serum electrolyte levels.

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