Becky Ochoa
STUDENT NAME _____________________________________
Metabolic Acidosis
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________45
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
DKA, starvation, lactic acidosis, excessive Excess production of hydrogen ions Encourage a healthy diet, limit alcohol
intake of acids, kidney failure, pancreatitis, and inadequate production of consumption, promote smoking
severe lung issues, liver failure cessation, maintain an appropriate weight
bicarbonate
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings
Implement seizure
Diarrhea, fever, hypoxia, Dysrhythmias, bradycardia, weak precautions and
starvation, seizure, aspirin peripheral pulses, hypotension, perform
tachypnea, headache, drowsiness,
overdose, alcohol overdose, renal management
confusion, rapid, kussmaul respirations
failure, DKA, dehydration interventions if
necessary
Provide life
Laboratory Tests Diagnostic Procedures support
interventions if
pH <7.35, PaCO2 35-45, HCO3- ABG (arterial blood gas) labs necessary
<22
PATIENT-CENTERED CARE Complications
Nursing Care Medications Client Education Convulsions,
Varies w causes. If due to diarrhea, Follow prescribed diet and
coma, respiratory
rehydrate and administer antidiarrheals.
IV fluids arrest
If due to DKA, give insulin. If serum Electrolytes dialysis regimen, weigh daily,
bicarbonate is low, administer sodium consider quiting smoking,
bicarbonate. Treat underlying cause
Sodium take medication as directed
bicarbonate
Therapeutic Procedures Interprofessional Care
IV fluids, electrolytes Respiratory and pulmonology
should be consulted for
oxygen therapy, ABG's,
breathing treatments and
respiratory management.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11