interpret these ABGs
pH 7.38 PaCO2 40 HCO3 24
What is normal?
Alan is a 17-year-old male who comes to the clinic saying he feels fatigued with constant thirst and frequent urination. What type of acid-base imbalance would you expect Alan to have?
What is Metabolic Acidosis?
Treatment for the 17 Y M experiencing metabolic acidosis d/t DKA.
What is administering insulin to normalize glucose metabolism?
Nursing care plan for patient with respiratory acidosis
What is Impaired gas exchange, anxiety r/t, risk for injury r/t?
Name some causes of metabolic alkalosis
What is Vomiting, NG suctioning, Diuretic therapy, Hypokalemia, Excess NaHCO3 (sodium bicarb) intake, Mineralocorticoid use?
pH 7.24 PaCO2 52 HCO3 24
What is Respiratory Acidosis Non-Compensated?
Name the three mechanisms to regulate acid-base balance and keep pH between 7.35-7.45
What are the buffer system, renal system, and respiratory system?
Treatments for patients in respiratory acidosis include
what is supplemental oxygen, bronchodilators, antibiotics, CPT, suction, humidity, I.S., mechanical ventilation?
Nursing care plan for patient with metabolic acidosis
What is Activity intolerance R/T, Self-care deficit syndrome, Risk for injury R/T, Risk for altered mucous membrane R/T?
The lungs compensate for metabolic acidosis by
what is hyperventilating?
pH 7.21 PaCO2 40 HCO3 19
What is Metabolic Acidosis Non-Compensated?
Mayna is an 18-year-old female who presents to the ED after an emotionally traumatic event. Mayna is experiencing a panic attack. Her vital signs read as BP 140/96 HR 104, RR 38, and O2 sat 96%. Lung sounds are clear. What type of acid-base imbalance would you expect Mayna to have?
What is Respiratory Alkalosis? (Mayna is hyperventilating, pushing out excess CO2)
Treatment for the 18 Y F experiencing respiratory alkalosis d/t panic attack.
What is have patient breath into paper bag to rebreathe expelled CO2? What is administer antianxiety meds?
Nursing care plan for patient with respiratory alkalosis
What is Ineffective breathing pattern R/T, Anxiety R/T, Risk for injury R/T?
When pH is high, K+ is..
what is low?
pH 7.57 PaCO2 21 HCO3 19
What is Respiratory Alkalosis Partially Compensated?
The difference between metabolic alkalosis vs metabolic acidosis
Treatments for patient in metabolic alkalosis include
what is determining the underlying cause, administering antiemetic, monitor and replace fluid and electrolytes?
Nursing care plan for patient with Metabolic Alkalosis
What is Risk for injury R/T confusion, Risk for ineffective breathing patterns?
With respiratory acidosis the kidneys excrete more _____ and conserve more _______
what is H+ and HCO3
pH 7.61 PaCO2 48 HCO3 30
What is Metabolic Alkalosis Partially Compensated?
On arrival to ED 22 Y F presents with shallow respirations with a rate of 8/min, diminished breath sounds, and decreased level of consciousness after 3 day drinking binge. This patient is exhibiting signs of what acid base imbalance
What is Respiratory Acidosis?
Treatment for the 22 Y F presenting to ED with respiratory acidosis
What is determine the cause of resp dep. Treat w/narcan for opioid OD. If induced by alcohol or other CNS depressants, breathing must be stimulated until the effects of drugs have worn off. Mechanical ventilation may be necessary to increase respiratory rate and depth, increasing oxygenation and promoting excretion of carbon dioxide.
Name a potential complication of metabolic alkalosis
What is dehydration?
During metabolic alkalosis the lungs compensate by _____ to conserve ______
What is hypoventilation and CO2?