NSG 223 Exam #2 Comprehensive
Questions (Frequently Tested) and
Complete Solutions Graded A+
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Metabolic Acidosis: ABG interpretation - Answer: - low
bicarbonate level less than 22 mEq/L and a low pH less than 7.35.
The cardinal feature is a decrease in the serum bicarbonate level.
Metabolic Alkalosis: ABG interpretation - Answer: - pH greater
than 7.45 and a serum bicarbonate concentration greater than 26
,Respiratory Acidosis: ABG interpretation - Answer: - pH is less
than 7.35 and PaCO2 is greater than 45 and a compensatory
increases HCO3
Respiratory Alkalosis: - Answer: - pH is greater than 7.45 and the
PaCO2 is less than 35
Treatments for Metabolic Acidosis Medical Management: -
Answer: - Give Bicarb
- Chronic metabolic acidosis treat calcium levels first
- Avoid tetany
- Watch for hypernatremia, hyperkalemia, and hypocalcemia
Treatments for Metabolic Alkalosis Medical Management: -
Answer: - Restore fluid volume
- Give electrolytes as needed (Sodium chloride and Potassium
chloride)
- Give Tagamet
- Hypokalemia- Urine Chloride, ID the cause
,Treatments for each ABG Imbalance: Acute Respiratory Acidosis -
Answer: - Underlying cause
- Bronchodilators
- BiPAP
Treatments for each ABG Imbalance: Chronic Respiratory Acidosis
- Answer: - Antibiotics
- Diuretics
- Bronchodilators
- Corticosteroids
- Mechanical ventilation
Treatments for each ABG Imbalance: Respiratory Alkalosis -
Answer: - Breathe into a bag- raise CO2
- Reassure patient
- Pursed lip breathing
Acute and Chronic causes of the 4 imbalances: Metabolic Acidosis
- Answer: - Build up of acid in the body due to kidney failure or
disease
- Kidneys are unable to remove enough acid from your blood
, - Hypocalcemia
Acute and Chronic causes of the 4 imbalances: Metabolic Alkalosis
- Answer: - High pH, high plasma bicarbonate concertation
- Gastric suctioning, vomiting, diuretic use from potassium loss,
Cushing's syndrome, long term diuretic and antacid use.
Acute and Chronic causes of the 4 imbalances: Respiratory
Acidosis - Answer: - Hypoventilation- inadequate excretion of
CO2, High CO2 levels
- Acute pulmonary edema, Severe pneumonia, and acute
respiratory distress syndrome
- Chronic hypercapnia- excessive CO2 in the blood
- Chemoreceptors in your brain alerted to elevated CO2-
Ventilation
Acute and Chronic causes of the 4 imbalances: Respiratory
Alkalosis - Answer: - Hyperventilation- panic attack or anxiety,
Low CO2 levels
- Asthma
- COPD
- PE
Questions (Frequently Tested) and
Complete Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic Support
Helping Students Achieve Academic Excellence
Metabolic Acidosis: ABG interpretation - Answer: - low
bicarbonate level less than 22 mEq/L and a low pH less than 7.35.
The cardinal feature is a decrease in the serum bicarbonate level.
Metabolic Alkalosis: ABG interpretation - Answer: - pH greater
than 7.45 and a serum bicarbonate concentration greater than 26
,Respiratory Acidosis: ABG interpretation - Answer: - pH is less
than 7.35 and PaCO2 is greater than 45 and a compensatory
increases HCO3
Respiratory Alkalosis: - Answer: - pH is greater than 7.45 and the
PaCO2 is less than 35
Treatments for Metabolic Acidosis Medical Management: -
Answer: - Give Bicarb
- Chronic metabolic acidosis treat calcium levels first
- Avoid tetany
- Watch for hypernatremia, hyperkalemia, and hypocalcemia
Treatments for Metabolic Alkalosis Medical Management: -
Answer: - Restore fluid volume
- Give electrolytes as needed (Sodium chloride and Potassium
chloride)
- Give Tagamet
- Hypokalemia- Urine Chloride, ID the cause
,Treatments for each ABG Imbalance: Acute Respiratory Acidosis -
Answer: - Underlying cause
- Bronchodilators
- BiPAP
Treatments for each ABG Imbalance: Chronic Respiratory Acidosis
- Answer: - Antibiotics
- Diuretics
- Bronchodilators
- Corticosteroids
- Mechanical ventilation
Treatments for each ABG Imbalance: Respiratory Alkalosis -
Answer: - Breathe into a bag- raise CO2
- Reassure patient
- Pursed lip breathing
Acute and Chronic causes of the 4 imbalances: Metabolic Acidosis
- Answer: - Build up of acid in the body due to kidney failure or
disease
- Kidneys are unable to remove enough acid from your blood
, - Hypocalcemia
Acute and Chronic causes of the 4 imbalances: Metabolic Alkalosis
- Answer: - High pH, high plasma bicarbonate concertation
- Gastric suctioning, vomiting, diuretic use from potassium loss,
Cushing's syndrome, long term diuretic and antacid use.
Acute and Chronic causes of the 4 imbalances: Respiratory
Acidosis - Answer: - Hypoventilation- inadequate excretion of
CO2, High CO2 levels
- Acute pulmonary edema, Severe pneumonia, and acute
respiratory distress syndrome
- Chronic hypercapnia- excessive CO2 in the blood
- Chemoreceptors in your brain alerted to elevated CO2-
Ventilation
Acute and Chronic causes of the 4 imbalances: Respiratory
Alkalosis - Answer: - Hyperventilation- panic attack or anxiety,
Low CO2 levels
- Asthma
- COPD
- PE
