Page 373 - ACCCN's Critical Care Nursing

350 P R I N C I P L E S A N D P R A C T I C E O F C R I T I C A L C A R E

Learning activities
1. When assessing a patient, what do the findings of accessory 5. What indicates uncompensated respiratory acidosis in Patri-
muscle use and nasal flaring indicate? cia’s first ICU arterial blood gas?
2. Describe what coarse crackles and bronchial breathing sound 6. What are the pathophysiological mechanisms behind Patricia’s
like and the pathophysiological mechanisms behind these hypoxia?
added lung sounds. 7. What monitoring is necessary when performing a
3. Outline the correct sampling technique for drawing an arterial bronchoscopy?
blood gas.
4. In relation to the case study, using Patricia’s first ICU arterial
blood gas data as a guide, what are the key variables to note
when interpreting arterial blood gases?

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