A patient complaining of dyspnea and swollen extremities is…

A patient complaining of dyspnea and swollen extremities is in the ER has the following vitals and laboratory values: HR – 125 bpm Na – 145 mEq/L BUN – 45 mEq/L pH – 7.15 RR – 35 breaths/min K – 5 mEq/L Cr – 3.5 mEq/L PaCO2 – 30 torr BP – 145/90 mmHg Cl – 105 mEq/L PaO2 – 95 torr Temp – 37 c CO2 – 24 mEq/L HCO3 – 16 mEq/L What is likely the problem?

You were called for a high risk delivery due to fetal HR dec…

You were called for a high risk delivery due to fetal HR decelerations. The neonate was delivered with 1 minute APGAR assessed with pink chest and slight acrocyanosis, pulse at 130 bpm, Strong grimace and crying, kicking and arms fully flexed and respirations at 45 breaths/min. What should be done next:

A premature newborn was  placed on high flow nasal cannula….

A premature newborn was  placed on high flow nasal cannula. The patient is receiving 0.65 FIO2 at a flow rate of 5 LPM. An ABG was obtained via umbilical arterial catheter with the following results:pH          7.36PaCO2     45 mmHgPaO2      46 mmHgHCO3     25 mEq/LBE          0.5 mEq/LWhat can be suggested at this time?