System disorder Metabolic acidosis PDF

Preview

Summary

ATI TEMPLATE...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

LVN ST UDENT NAME _____________________________________

Metabollic acidosis DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) Acid-Base imbalance

Pathophysiology Related to Client Problem an imbalance of kidney buffers, respiratory buffers and chemical buffers. Bicarb is abnorally low and increased H (pH). The kideys try to compensate

45 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention encourage healthy diet, smoking cessation, drink 6-8 cups of h20/day, maintain healthy weight

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

DKA, starvation, excessive intake of acids, inadequate elmination of H+, excessive intake of H+, lactic acidosis, impaired liver/pancreatic functions, diarrhea (Excessive elimination of Bicarb)

Laboratory Tests ABG's, (pH, HCO3, PaCO2)

dysrhythmias, bradycardia, weak pulses , tachypena, headache, drowziness, confusion, rapid deep respirations (kassmauls resp). pt warm dry and pink

Diagnostic Procedures Review pH, HCO3, PaCO2, PaO2 (ABG's)

PATIENT-CENTERED CARE

Nursing Care If DKA adm insulin. if gi loss adm antidiarrheals and rehydrate, administration of sodium bicarb if Hco3 is low (1mEq/kg). treat underlying cause. educate pt on their condition

Therapeutic Procedures make sure call light is within reach, aviod excessive vomitting and diarrhea, replenish fluids adequately exercise

ACTIVE LEARNING TEMPLATES

avoid excessive alcohol consumption, maintain hydration, maintain diabetes medication regimen to avoid DKA Imortant to avoid using laxatves and diets that are restrictive

Complications Medications Sodium Bicarb 1mEq/kg Acetate Citrate insulin for DKA antidiarrheals antipuretics o2 treat underlying cause with proper medications as per MD order

Client Education adhere to diaylsis reg, take daily weights, stop smoking, take meds as prescribed and educate on and referrals for home oxygen.

Decline in LOC Cardiac dysrhythmias convulsions, respiratory arrest and coma shock death

Interprofessional Care nephrology pulmonology RT Cardiologist Pharmacist

THERAPEUTIC PROCEDURE

A11...