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Original Question

Instructions: In the box below, identify the acid-base disturbance from the provided ABG (Arterial Blood Gas) measurement. Once this is done, complete the corresponding boxes to provide an explanation of the ABG findings (why are the numbers going in the direction they are going). Identify the medical treatment and corresponding nursing interventions with rationales (no, they do not have to be cited). Lastly, complete the information regarding the affected organs that aid in the regulation of acid-base in the body. Bring this information to class on Monday or to the next hybrid meeting. ABG Reading Metabolic Disorder Explanation of the ABG Findings Treatment (Medical) Example of Conditions Causing Nursing Interventions with rationale (s) pH 7.25 pCO2 56 HCO3- 23 pH 7.50 pCO2 37 HCO3- 40 pH 7.30 pCO2 38 HCO3- 15 pH 7.58 pCO2 30 HCO3-25 Organ System What is the Normal Function of the Organ System How Contributes to Acid-Base Balance If the Organ System is Impaired, How Does the Body Compensate? Significance to Nursing Care? Questions: The acidity of a solution is determined by what? __________________________________ The electrolyte disturbance seen in acidosis states is _______________________________ The electrolyte disturbance seen in alkalosis states is ______________________________ The organs responsible for regulation of acid-base are _______________________ and __________________________ The ___________________ regulate acid-base through regulation of carbon dioxide The kidneys regulate acid-base through ______________________________________ What would be appropriate laboratory panels for a patient with an acid-base disturbance? In what ways can nurses monitor and possibly prevent an acid-base disturbance? (Be specific in regard to each disturbance whether it is acidosis or alkalosis) What regularly administered medication can contribute to an acid-base disturbance? How? What are anticipated electrolyte disturbances observed in acid-base disturbances? What would be the priority for the specific electrolyte disturbance?

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