CHAMBERLAIN COLLEGE OF NURSING NR 341 Complex Adult Health Nursing CASE STUDY EXERCISE Ventilatory Assistance & ARF 1 1.What is your interpretation of Mr. Rs baseline ABGs from the ER? Did his symptoms improve on admission to CCU? What may have caused his exacerbation? What assessment findings lead you to this conclusion? What ventilatory assistance may improve his symptoms? How? According to the patients report, Mr. Rs baseline ABGs shows that his pH is within the normal range, but the rest of his ABG levels reveal compensated respiratory acidosis. Mr. R did not show improvement of symptoms upon admittance to the CCU. Mr. Rs history of chronic smoking; being 1.5 packs of cigarettes a day for 40 years has caused extensive damage to his lungs and could be what caused the exacerbation of COPD. Mr. R could benefit from the use of a BiPAP machine, which provides pressurized air to help open up the CASE STUDY: Ventilatory Assistance & Acute Respiratory Failure 1Mr. R is a 66-year-old man who has smoked 1.5 packs of cigarettes a day for 40 years. He is admitted with an acute exacerbation of COPD. His baseline ABGs drawn in the ER showed: pH, 7.36; PaCO2,