How would you classify the patient's acid-base disturbance and explain why
nursing
Description
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 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.
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 Result Normal levels
pH 7.5 7.35 – 7.45
PaCO 2 40 mm Hg 35-45 mm Hg
PaO 2 95 mm Hg 80-100 mm Hg
SaO 2 97% 95-100%
HCO 3 - 32 meq/liter 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.
