On arrival A.W. is stuporous, tachycardic, and cyanotic. The paramedics inform the physician that it was difficult to ventilate A.W. arterial blood gases (ABGs) are obtained. A.W. Her ABGs on 100% oxygen are pH 7.25, Paco2 92 mm Hg, Pao2 32 mm Hg, HCO3 27 mmol/L, base excess (BE) +5 mmol/L, Sao2 53%.
1. On arrival to the ER what assessments would be a priority for the nurse or doctor to perform? Be specific in your answers.
2. What exams and lab tests would you suggest to be done and why.
3. What do you think the diagnosis would be for this patient?
4. Describe the findings of the arterial blood gas results.