Assignment: Healthcare Nursing Lab
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Assignment: Healthcare Nursing Lab
Question Description
Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.
The delicate balance between CO2 and oxygen is very interesting. I see students struggle with acidosis and alkalosis. Respiratory acidosis will be caused by decreased respirations, but metabolic acidosis will lead to increased respirations as the body tries to compensate. When looking at ABGs once can easily distinguish between the two, but when you look at the clinical picture (from the eyes of a student) they appear similar.
Please remember that to qualify for home oxygen the patient must meet specific guidelines. As nurses we tend to be cheerleaders for our patients, but when it comes to home oxygen we need to be their advocates. Medicare is the standard as far as requirements go, this is an example from Aetna.
Assignment: Healthcare Nursing Lab
Assignment: Healthcare Nursing Lab
1. **Qualifying laboratory values:
Continuous Oxygen:
1. Resting PaO2 less than or equal to 55 mm Hg or oxygen saturation less than or equal to 88%
2. Resting PaO2 of 56-59 mm Hg or oxygen saturation of 89% in the presence of any of the following
1. Dependent edema suggesting congestive heart failure
2. Erythrocythemia (hematocrit greater than 56%)
3. P pulmonale on the electrocardiogram (P wave greater than 3 mm in standard leads II, III, or aVF)
3. Resting PaO2 greater than 59 mm Hg or oxygen saturation greater than 89% only with additional documentation justifying the oxygen prescription and a summary of more conservative therapy that has failed.
Non-continuous Oxygen: (oxygen flow rate and number of hours per day must be specified)
4. During exercise: PaO2 less than or equal to 55 mm Hg or oxygen saturation less than or equal to 88% with a low level of exertion
5. During sleep: PaO2 less than or equal to 55 mm Hg or oxygen saturation less than or equal to 88% with associated complications, such as pulmonary hypertension, daytime somnolence, and cardiac arrhythmias.
Note: All qualification studies must be done while on room air unless medically contraindicated. Documentation of blood gas values can come from the doctor’s office, hospital or from an outpatient laboratory.…
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
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