Endure the discomfort You are assisting a pregnant woman with
delivery and the baby is crowning. Which
of the following would you do next?
Place a hand on top of the baby's head
and apply light pressure.
b. Check for looping of the umbilical cord
around the baby's neck.
Tell the mother to stop pushing and
concentrate on her breathing.
d. Guide one shoulder out at a time
without pulling on the baby.
C.

Conrad jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. during the interview, he describes attending a family reunion and states that perhaps he "ate something bad". upon admission his vital signs are a temperature of 102.7 f, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm hg. the nurse also notes the patient has dry mucuos membranes and tenting of skin. the physician orders an iv to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas. the following results are returned from the laboratory: sodium (na+) 150 potassium (k+) 5.5 chloride (cl-) 110 bun 42 creatinine 0.8 glucose 86 ph 7.32 paco2 35 hco3 20 pao2 90 o2sat 98% a. what is your interpretation of this arterial blood gas sample? b. explain the high potassium in this patient. c. calculate the patient's anion gap: d. what is the interpretation of this anion gap?