MDC2 Exam 2 WITH 100% VERIFIED ANSWERS(REVISED)

MDC2 Exam 2 WITH 100% VERIFIED ANSWERS(REVISED) Acidosis - The acid base balance of the blood and other ECF is upset by an excess of hydrogen. Arterial blood pH below 7.35 Causes of metabolic - •Diabetic Ketoacidosis •Renal failure •Starvation •Diarrhea •Ileostomy •Hyperthyroidism •Pancreatitis •Liver failure •Dehydration •Seizure activity •Ethanol intoxication •Aspirin toxicity metabolic acidosis - too much acid Hydrogen irons of metabolic acidosis are? - Over Produced Under eliminated Bicarbonate irons of metabolic acidosis are? - Under producted Over eliminated S/S of Metabolic Acidosis - •Kussmaul's breathing •20bpm •weak •Confused •Hypotension •Cardiac changes (due to Hyperkalemia) •Nausea •Vomiting Interventions for Metabolic Acidosis - •Hydration •Antidiarrheal medications •Monitor Electrolytes (potassium) •Renal Failure •Neuro status •DKA •Bicarbonate •Watch for Respiratory distress Lab assessment for metabolic acidosis - SERUM POTASSIUM HIGH Respiratory Acidosis - Respiratory function is impaired, causing problems with O2 and CO2 *too much Co2 retained* Respiratory Acidosis causes - •COPD •SEVERE ASTHMA Acidosis Interprofessional collaborative care: •CNS changes - Lethargy, confusion, stupor,coma Acidosis Interprofessional collaborative care: Neuromuscular changes - ↓ Muscle tone, deep tendon reflexes, facial paralysis, skeletal muscle weakness Acidosis Interprofessional collaborative care: Respiratory changes - Kussmaul's breathing Acidosis Interprofessional collaborative care: Skin changes - Warm, dry, and pink (vasodilation) Acidosis Interprofessional collaborative care: Cardiovascular changes - •Early: ↑ Heart rate, cardiac output changes Worsening: •Hyperkalemia; ↓ heart rate; T wave peaked and QRS widened; weak peripheral pulses; hypotension Priority problem for patient with respiratory acidosis - Reduce GAS EXCHANGE resulting from underlying pulmonary disease. Interventions for Respiratory Acidosis - •Focus on improving gas exchange •Administer Oxygen •If severe the patient may need to be put on a ventilator •Drug Therapies •Encourage breathing techniques Alkalosis - a decrease in the free hydrogen ion level of the blood, arterial blood pH above 7.45.