Document a focused history, physical exam, nursing diagnoses, health and medicine homework help

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Document a focused history, physical exam, nursing diagnoses, and nursing process of a case study from NUR-641E: Advanced Pathophysiology and Pharmacology for Nurse Educators and compare the differences with a complete assessment.

APA format is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.


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Case Study A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following: Test pH PaCO2 PaO2 SaO2 HCO3- Result 7.5 40 mm Hg 95 mm Hg 97% 32 meq/liter Normal levels 7.35 – 7.45 35-45 mm Hg 80-100 mm Hg 95-100% 22-26 meq/liter How would you classify the patient’s acid-base disturbance and explain why? Given the case study, what are the possible factors causing this acid-base disturbance? Explain the pathophysiology created by these factors. How would the renal and respiratory systems try to compensate for this acid-base disturbance? What pharmacologic intervention is commonly used to correct this acid-base disturbance? Describe the pharmacological actions. Describe the educational needs for this patient and what your approach will be. © 2010. Grand Canyon University. All Rights Reserved. 1
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Running head: COUNTERING METABOLIC ALKALOSIS

Countering Metabolic Alkalosis
Name
Institution

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COUNTERING METABOLIC ALKALOSIS

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Countering Metabolic Alkalosis
Anomaly of an individual body’s standard stability between acids and alkalis causes
deviation of plasma pH from the usual range of 7.35 to 7.45. Severity can have various levels,
some of which are life-threatening (Truchot, 2012). The progression that results in the
disturbance is classified according to the etiology of the imbalance, which can be respiratory or
metabolic, and the trend of the change in pH resulting in acidosis or alkalosis. The patient’s acidbase imbalance can be classified as metabolic alkalosis. This is because the patient’s plasma pH
is above the neutral meaning that the patient’s condition can only be metabolic or respiratory
alkalosis. To reach the conclusion that the patient is suffering from metabolic alkalosis, we
examine the level of carbon dioxide, which is buffered as bicarbonate. The specimen from the
patient shows the level of bicarbonate is higher than the normal level (Truchot, 2012).
Factors Causing Metabolic Alkalosis
The possible factors that led to this condition include; losing hydrogen ions through
vomiting. This happens when a patient vomits stomach substances containing hydrochloric acid.
Another factor is contraction alkalosis occurring due to liquid loss through dehydration. Decline
in the extracellular capacity stimulates the renin-aldosterone coordination, which consequently
triggers the retake of sodium as well a...


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