NUR 2392 / NUR2392 : Multidimensional Care II / MDC 2 Exam 2 Review / Rasmussen College ( 101 Q&A)

1. PH: - 7.35-7.45 2. Co2: - 35-45 (this is an acid) (higher the number more acidic) 3. HCO3- - 22-26 (bicarb, more is more basic) 4. Uncompensated: - pH and one other value is abnormal 5. Partial Compensation - some compensation occurs but pH remains abnormal 6. Fully-compensated: - A pH level that has returned to normal. 7. Metabolic acidosis causes: - DKA, renal disease, starvation, diarrhea, ileostomy, hyperthyroidism, pancreatitis, liver failure, dehydration, seizure activity, ethanol intoxication, and aspirin toxicity. 8. Metabolic acidosis Lab Assessment: - pH<7.35, bicarbonate <21mEq/L, PaO2 normal, PaCo2 normal or slightly decreased, and serum potassium high 9. Metabolic acidosis Clinical manifestations: - Kussmaul's breathing RR>20, weak, confused, hypotension, cardiac changes (due to hyperkalemia), N/V 10. Metabolic acidosis nursing interventions: - hydration, antidiarrheal medication, monitor electrolytes (potassium), --Renal failure: strict I&O, monitor diet, may need dialysis, --Neuro status: seizure precautions, --DKA: Patient will need insulin drip, bicarbonate (only with low serum levels), and watch for respiratory depression: patient may need to be ventilated 11. Respiratory acidosis causes: - respiratory depression, inadequate chest expansion, airway obstruction or aspiration of a foreign object, opioids, anesthetics, ascites, pulmonary embolism, pulmonary edema, hypoventilation, rib fractures, tuberculosis, emphysema, drowning, acute respiratory distress syndrome, pneumonia, COPD, severe asthma, and decreased alveolar-capillary diffusion. 12. Respiratory acidosis Lab assessment: - pH <7.35, PaO2 low, PaCO2 high, Serum bicarbonate variable, serum potassium levels elevated, and serum levels normal or low (if renal compensation present) 13. Respiratory acidosis clinical manifestations - CNS changes (lethargy, confusion, stupor, coma), neuromuscular changes (decreased muscle tone, deep tendon reflexes, facial paralysis, skeletal muscle weakness), respiratory changes (Kussmaul's breathing), skin changes (warm, dry pink=vasodilation), cardiovascular changes: early- elevated HR and cardiac output changes; worsening: hyperkalemia, decreased HR, T wave peaked and QRS widened, peripheral pulses weak, and hypotension. 14. Respiratory acidosis nursing interventions - Focus on improving gas exchange, administer oxygen, if severe pt may need to be put on ventilator, drug therapies (administer bronchodilators, mucolytics, and antiinflammatories=tramadol/naproxen), and encourage breathing techniques (turn, cough, deep breath/incentive spirometer use) 15. Metabolic Alkalosis Causes: - base excess-excess intake of bicarbonates, carbonates, acetates, and citrates; acid deficit- prolonged vomiting, excess cortisol, hyperaldosteronism, thiazide diuretics, prolonged NG suction, and loss of gastric acid. -- Ingestion of antacids, TPN, blood transfusion, diuretic therapy 16. Metabolic Alkalosis Lab Assessment: - ph>7.45, HCO3->26, and normal O2/CO2 levels 17. Metabolic Alkalosis Clinical Manifestations: 

No comments found.
Login to post a comment
This item has not received any review yet.
Login to review this item
No Questions / Answers added yet.
Category Exam (elaborations)
Release date 2021-09-11
Pages 19
Language English
Comments 0
Sales 0
Recently viewed items

We use cookies to understand how you use our website and to improve your experience. This includes personalizing content and advertising. To learn more, please click Here. By continuing to use our website, you accept our use of cookies, Privacy policy and terms & conditions.