NUR 390 Exam 1

What is the anticipated cause of Metabolic Acidosis? - Diabetic Ketoacidosis or DKA Renal Failure Lactic Acidosis from Sepsis Excessive Diarrhea Signs & Symptoms that need to be monitored with Metabolic Acidosis? - Coma! Hypovolemic Shock Potassium Disturbance (Hyperkalemia) Labs to review for Metabolic Acidosis? - If DKA - Glucose + Potassium If Renal Failure - BUN, Creatinine, Potassium Nursing Interventions for Metabolic Acidosis - If DKA - Administer Fluids and Insulin, Assess for Rapid Deep Respirations (Kussmaul's Respirations) If Renal Failure - Client may need Dialysis Orders for Metabolic Acidosis - DKA - Regular Insulin + Fluids Renal Failure - Dialysis + Potassium Protocol What is the anticipated cause of Metabolic Alkalosis? - Vomiting + Diarrhea NG Tube Suction (loss of gastric acid) Consumption of too many antacids Potassium Depletion (thiazide diuretics)Signs & Symptoms that need to be monitored with Metabolic Alkalosis? - Electrolyte Imbalances Fluid Volume Deficit (hypovolemic shock)