This work is based on details about the severe obstructive chronic disease related to the case study of Mr Thompson. The decision about Mr Thompson suffering from the disease is reached because on admission at the hospital, he was reported to be having complaints about increasing dyspnoea, increased sputum, anxiety, and diaphoresis. The patient stated that he felt weak and tired and further more confirms that he was on pulmonary medications with furosemide.
Tests were made and Mr Thompson was found to have these values: sodium (Na+) 140mEq/L, Potassium (K+) 2.0mEq/L, Chloride (Cl-) 105mEq/L, Arterial blood gas pH, 7.25; Partial press of carbon dioxide, 78mm Hg, Partial pressure oxygen, bicarbonate 30mEq/L. His levels differ with those of a normal person who should have; Na+ 136 to 146mEq/L, K+ 3.5 to 5.1mEq/L, Cl- 98 to 106mEq/L, pH: 7.35 to 7.45, pCO2 35 to 45mEq/L, ABG, PO2 80 to 100, HCO3 22 to 28mEq/L. The differences highlighted confirm that Mr Thompson was experiencing an acid-base imbalance which affected both his respiratory and metabolic processes. The respiratory imbalance affected his carbonic acid concentration as he had 33mm Hg in excess whereas metabolic imbalance, altering the base bicarbonate, was observed since he had 2 mEq/L (Knaus et al., 2015).
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The record from the tests indicates that the arterial blood gas is 20mm Hg less thus explains the reasons behind the variation in Mr Thompsons’ acid-base status and the underlying cause of the imbalance, from the test it also known about the capability of the patient’s body to regulate pH and the overall oxygen status.
The Treatment of Mr Thompson is based on the correction of the underlying causes since if not so it would result in him experiencing other pulmonary diseases. Therefore, the patient should be introduced to a yearly flu shot, the pneumococcal vaccine, or the whooping cough vaccine. The patient should also observe a healthy diet so as for him maintain his overall health and avoid health complications (Vestbo et al., 2013).
References
Knaus, W. A., Draper, E. A., Wagner, D. P., & Zimmerman, J. E. (2015). APACHE II: a severity of disease classification system. Critical care medicine , 13 (10), 818-829.
Vestbo, J., Hurd, S. S., Agustí, A. G., Jones, P. W., Vogelmeier, C., Anzueto, A., ... & Stockley, R. A. (2013). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. American journal of respiratory and critical care medicine , 187 (4), 347-365.
