[Expert Solution]: Case Study A 54-year old woman presents to…

Case Study A 54-year old woman presents to the ED complaining of dyspnea. She reports using her albuterol rescue inhaler multiple times with no relief. On assessment the nurse learns that she recently came back from vacationing in South America and while over there she was admitted for an asthma exacerbation. She states that a doctor prescribed her a medication but she cannot remember the name; she mentioned she continued taking it until it ran out. Vitals: Blood pressure: 138/68 Pulse: 103 Respirations: 28 Oxygen Saturation: 99% Room air Temp:37.6C Past Medical History: Asthma, Diabetes & Hyperlipidemia Medications: Albuterol PRN, Budesonide Inhaler 2 puffs Q12H, Insulin, & Lipitor A room air arterial blood gas is performed and reveals: pH-6.99 PCO2-26 HCO3-14 1. What additional assessment/test should you perform on your patient? 2. What additional questions should you ask your patient? On hospitalization abroad… 3. What are normal ABG values? 4. What could the mystery medication be? 5. What is the compensatory mechanism? 6. What treatments will the patient receive?