NUR 513-Discussion: Nursing care for clients with acid-base imbalances

ORDER NOW FOR AN ORIGINAL PAPER!!NUR 513-Discussion: Nursing care for clients with acid-base imbalances! .

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

Scenario

Tony is a 35-year-old, Hispanic male that presented to the Emergency Room with family complaints of somnolence but arousable. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. His wife reports that he had been vomiting for three days with ”the flu.” She says his level of consciousness was per baseline last evening, but this am was difficulty to wake. His temporal temperature is 101.7 F. heart rate is 125 bpm and his peripheral blood pressure is 85/58. His pulse oximetry is 92% on room air with respiration rate 30/min.

You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.

Tony’s ABG results:

pH 7.22

PCO2 29

HCO3- 11.

Chemistry panel:

Cl- 90

Na+ 131

HCO3- 12

Glucose 135

Instructions

In a 1-2 page Word document:

Determine Tony’s acid-base imbalance

Describe possible causes of the imbalance

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

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

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

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