Acid-Base Imbalance MODULE 06

Topic:

Acid

–

Base Imbalance

 

MODULE 06

 

 

Competency

 

Describe strategies for safe, effective multidimensional

nursing

care for clients with acid

–

base

imbalances.

 

 

Scenario

 

Tony is a 56

–

year

–

old, Hispanic male that presented to the Emergency Room with complaints of

frequent, which he has been experiencing for the past four days. He states “I haven’t felt good for about

a week, but couldn’t afford to miss work.” He complains o

f a diarrhea, lightheadedness, and feeling

exhausted. Past medical history includes asthma and chronic obstructive pulmonary disease. Upon

physical examination, you notice that Tony is pale, drowsy, and his respiratory rate is 28 breaths per

minute and dee

p, heart rate 125 beats per minute, blood pressure 80/40 mm Hg, and his pulse oximetry

is 90% on room air. You notify the MD. He orders oxygen at 2 L via NC, a guiac stool, and an arterial

blood gas.

 

 

Tony’s ABG results:

 

pH 7.28

 

PaCO2

–

 

32 mm Hg

 

PaO2

–

 

70

mm Hg

 

HCO3

–

 

18 mEq/L

 

 

Instructions

 

In a

–

2

–

page

 

Word document:

 

1.

 

Determine Tony’s acid

–

base imbalance

 

2.

 

Describe possible causes of the imbalance

 

3.

 

Identify the signs and symptoms that Tony is exhibiting as a result of the acid

–

base imbalance

 

4.

 

List the multidimen

sional care strategies that are appropriate for the care of Tony

 

 

Must use a minimum of

four

scholarly resources (only .org, .edu, or .gov. Cite with links included for

referencing)

 

Topic: Acid-Base Imbalance MODULE 06

 

Competency

Describe strategies for safe, effective multidimensional nursing care for clients with acid-base

imbalances.

 

Scenario

Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of

frequent, which he has been experiencing for the past four days. He states “I haven’t felt good for about

a week, but couldn’t afford to miss work.” He complains of a diarrhea, lightheadedness, and feeling

exhausted. Past medical history includes asthma and chronic obstructive pulmonary disease. Upon

physical examination, you notice that Tony is pale, drowsy, and his respiratory rate is 28 breaths per

minute and deep, heart rate 125 beats per minute, blood pressure 80/40 mm Hg, and his pulse oximetry

is 90% on room air. You notify the MD. He orders oxygen at 2 L via NC, a guiac stool, and an arterial

blood gas.

 

Tony’s ABG results:

pH 7.28

PaCO2 – 32 mm Hg

PaO2 – 70 mm Hg

HCO3 – 18 mEq/L

 

Instructions

In a–2-page Word document:

1. Determine Tony’s acid-base imbalance

2. Describe possible causes of the imbalance

3. Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance

4. List the multidimensional care strategies that are appropriate for the care of Tony

 

Must use a minimum of four scholarly resources (only .org, .edu, or .gov. Cite with links included for

referencing)