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University of West Georgia Acid Base Balance & Electrolyte Balance Report

University of West Georgia

Question Description

I’m studying for my Nursing class and need an explanation.

Please just follow the instructions and answer the question as it is. The exercise are as follow; FLUID & ELECTROLYTE BALANCE, Acid-Base Balance Exercises, ACID BASE BALANCE 1

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ACID/BASE EXERCISES 1. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.35 PCO2=42 HCO3=26 2. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.31 PCO2=51 HCO3=27 3. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.47 PCO2= 30 HCO3=24 4. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.33 PCO2= 40 HCO3=20 5. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.50 PCO2=38 HCO3=30 6. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.43 PCO2=30 HCO3= 20 7. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.32 PCO2=52 HCO3=26 8. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.41 PCO2=25 HCO3=16 9. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.36 PCO2=48 HCO3=30 10. What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? pH=7.45 PCO2=49 HCO3=45 Tips for Interpretation 1. Look at the pH. Is it between 7.35 and7.45 (Normal range)? 2. Not normal? Acid (< 7.35) or base (>7.45)? 3. Look at PCO2 (acid component regulated by the lungs). Is it normal? Acid or base (lack of acid or alkaline)? 4. Look at HCO3 (base component regulated by kidney {metabolic}). Is it normal? Acid (lack of base or bicarbonate or too much acid) or base? 5. Now determine if the condition is respiratory acidosis/alkalosis or metabolic acidosis/alkalosis? Determine the nursing care for you will provide. Objectives - FLUID & ELECTROLYTE BALANCE NCL EX Objective S E C Identify patient care priorities for patients experiencing fluid and electrolyte imbalances S E C Collaborate with interprofessional teams for providing care to patients with fluid and electrolyte imbalances S E C Identify significant findings to report to other healthcare professionals S E C Develop a plan of care for patients experiencing alternation in fluid and electrolyte balance S E C Evaluate plans of care for patients experienced fluid and electrolyte imbalances H P M Protect the client from injury by identification of risk for fluid and electrolyte imbalance, including protecting patient from complications of fluid and electrolyte imbalances H P M Discuss appropriate patient self-care strategies to prevent and manage fluid and electrolyte imbalances H Prepare an effective P# Notes Objectives - FLUID & ELECTROLYTE BALANCE P M patient teaching plan related to the prevention and management of fluid and electrolyte imbalances P S I Explain the purpose of dietary fluid or electrolyte restrictions to enhance patient adherence P S I Incorporate patient’s cultural preferences in nutritional planning with an electrolyte or fluid restricted diet P HI Interpreting assessment findings, including laboratory values, intake and output, and clinical manifestations, related to fluid and electrolyte balance P HI Recognize trends and changes in client condition, including selecting appropriate interventions P HI Differentiate forms of hydration and electrolyte replacement, including anticipating the need for oral or intravenous fluid/electrolyte replacement P HI List, describe, and prioritize the related concepts Objectives - ACID BASE BALANCE NCL EX Objective S E C Identify patient care priorities for patients experiencing acidbase imbalances S E C Identify patients at risk for injury as a result of acid-base balance H P M Apply assessment knowledge for the identification of patients at risk for acid-base imbalance H P M Prepare an effective teaching plan related to the prevention and management of acid-base imbalances P S I Explain the purpose of lifestyle modifications to prevent acid-base imbalances to enhance adherence P HI Protect the patient with an acid-base imbalance from injury and complications (Reduction of Risk Potential; Physiologic Adaptation) P HI Interpret assessment finding related to acid-base balance (Reduction of Risk Potential; Physiologic Adaptation) P Identify potential P# Notes Objectives - ACID BASE BALANCE HI pharmacological/par enteral methods of managing acid-base balance (Reduction of Risk Potential; Physiologic Adaptation) P HI List, describe, and prioritize the related concepts ...
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Final Answer

Hello, I hope you are doing fine. The ACID/BASE EXERCISES in the pdf are completed. However, there is some clarification that I would like to seek as I work on finishing up the two other files...Is there a possibility that these should have been uploaded together with specific patient profiles? This is because in the research that I have been conducting, I have found different answers to those questions, and they are based on the specific situation of the patient. Please confirm and let me know. Also, after confirming you can extend the deadline for me so that I may be able to complete it competently

NURSING PRIORITY CARE

1

Nursing Priority Care
Student’s Name
Institutional Affiliation

NURSING PRIORITY CARE

2
Nursing Priority Care
Acid/Base Exercises

1. Normal (approaching acidosis)
At the moment, it is normal. However, they are headed toward acidosis. The causes may
include severe obesity, COPD, and asthma. The clinical manifestations are sleep
disturbances, dyspnea, wheezing, and anxiety. Nursing care for this condition would
entail regular assessment and minoring of the ABG, breathing pattern assessment,
maintenance of semi-fowlers positon, and repositioning the patient to encourage
diffusion.
2. Respiratory Acidosis
Causes including sedative overdose, acute pulmonary edema, pneumonia, COPD, cardiac
arrest, and asthma. The clinical manifestations are Cyanosis, seizures, Altered Mental
Status, Myoclonus. Nursing care includes monitoring of ABG, patient tissue oxygenation
assessment, monitoring of symptoms, and assessment for ventilation perfusion mismatch.
3. Respiratory Alkalosis
The causes of this condition include head injury, hyperventilation, excessive controlled
ventilation, asthma, pneumonia, and pulmonary embolism.
The clinical manifestations include paresthesia, ischemia, tachypnea, hyperventilation,
hypokalemia, hypocalcemia, and severe anxiety.
Nursing care for these cases includes carefully watching calcium and potassium levels,
encouragement of the individual to breath into masks/paper multiple times, determination
of the presence of hypocalcemia and hypokalemia symptoms, and minimization of
mechanical ventilation concentration.

NURSING PRIORITY CARE

3

4. Metabolic Acidosis
The causes include high anion gap, as well as persistent problems in the normal anion
gap. Clinical manifestations include hyperpnea, shortness of breath, confusion, head
ache, tiredness, fatigue, and Kussmaul breathing.
Nursing care includes evaluation of the ABG, taking seizure precautions, watching
patient’s neurological status, and assessing potassium levels.
5. Metabolic Alkalosis
The causes include renal bicarbonate retention, hypokalemia, alkali administration, loss
of fluid, and acid loss.
Clinical manifestations include prolonged muscle spasm, nausea, hand tremor,
hypoventilation, muscle twitching, and bradypnea.
Nursing case for this will include monitoring ABG, medication based on symptoms, and
monitoring of potassium and chloride levels.
6. Compensated Respiratory Alkalosis
Causes include excessive mechanical ventilation, pulmonary disease, and hypoxemic
situation.
Clinical manifestations include hyperchloremia, tachypnea, hyperchloremia, and
Kussmaul's breathing.
Nursing care includes monitoring of vital signs, monitoring ABG, restriction of sodium
and chloride intake, and assessment of consciousness changes.
7. Respiratory Acidosis
The main causes include sedative overdose, acute pulmonary edema, pneumonia, COPD,
cardiac arrest, and asthma. The clinical manifestations are Cyanosis, seizures, Altered

NURSING PRIORITY CARE

4

Mental Status, Myoclonus. Nursing care includes monitoring of ABG, patient tissue
oxygenation assessment, monitorin...

mwalimumusah (21179)
UT Austin

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