Interpretation
pH: 7.52, PCO2: 28, HCO3: 24
What is Respiratory Alkalosis
Your patient has type 1 diabetes, Kussmauls respirations, and diarrhea. What imbalance do you anticipate?
Metabolic Acidosis
What is the treatment for a patient who is anxious, hyperventilating, and in respiratory alkalosis?
Encourage slow controlled breathing, correct hypoxemia, CT to r/o PE
pH: 7.51, CO2: 42, HCO3: 34
What is Metabolic Alkalosis
Your patient has a small bowel obstruction and high NG tube output. What imbalance do you anticipate?
Metabolic Alkalosis
What is the treatment for a patient who has severe vomiting, lots of NG output and in metabolic alkalosis?
Replace fluids and electrolytes, adjust suction as needed, antiemetics.
pH: 7.22, CO2: 68, HCO3: 26, PaO2: 70
What is Respiratory Acidosis
Your patient has pneumonia with new onset confusion and lactate 5.2. What imbalance do you anticipate?
Metabolic Acidosis
What is the treatment for a patient in Septic Shock in metabolic acidosis?
Replace fluids (30 mL/kg), antibiotics.
pH: 7.12, PCO2: 22, HCO3: 14
What is Partially Compensated Metabolic Acidosis
Your patient is unresponsive with pinpoint pupils and RR 6. What imbalance do you anticipate?
What is Respiratory Acidosis
What are the treatments for a patient who has overdosed on narcotics and is in respiratory acidosis?
Naloxone (Narcan) and improve ventilation.
pH: 7.30, CO2: 58, HCO3: 30, PaO2: 62
What is Partially Compensated Respiratory Acidosis
Your patient is anxious, c/o chest tightness and shortness of breath. What imbalance do you anticipate?
Respiratory Alkalosis
What is the priority nursing intervention for a patient with COPD and ABG: pH 7.28, PCO2 of 78, HCO3 of 30?
BiPap or mechanical ventilation if worsening.