Respiratory Alkalosis

Abbie Townsend (pronouns: she/her/hers) is a 60-year-old client who presents to the emergency department via ambulance with a suspected aspirin overdose. She is confused and dyspneic with a decreased level of consciousness and is diaphoretic and vomiting. She has a history of two previous suicide attempts and is diagnosed with major depressive disorder. The client has clinical manifestations of respiratory alkalosis caused by ____ and placing the client at risk for ______

salicylate poisoning hypocalcemia

For each potential healthcare provider prescription, indicate if the prescription is essential, non-essential, or contraindicated at this time.

see picture for rationale and answer

The nurse is caring for a client in the preoperative area who is very anxious about an upcoming surgery. The client's respiratory rate is 32 and deep. Arterial blood gas (ABG) results are: pH 7.48 PaCO2 25 mmHg HCO3- 24 mEq/L PaO2 90 mmHg The client has ____________ respiratory alkalosis.

uncompensAted

After reviewing the electronic health record (EHR), including the Laboratory Results, the nurse finds that the client has _____respiratory alkalosis. pH 7.52 PaCO2 30 mmHg PaO2 90 mmHg HCO3- 25 mEq/L SaO2 96%

uncompensated

John Thompson (pronouns: they/them/theirs), age 40, presents to the emergency department with shortness of breath. They are talking rapidly and having trouble sitting still for an assessment to be performed. The client reports that they were just fired from a job of the past 20 years and voices anxiety about supporting their family. The nurse should first do what?

use strategies to slow john's breathing Supplemental oxygen is not needed as John's oxygen saturation is normal.

The healthcare provider prescribes arterial blood gas analysis. The nurse anticipates the results will show a__________ pH and __________ PaCO2.​

an increased decreased

The nurse is caring for a client in the emergency department who has experienced a stroke. Arterial blood gas results are: pH 7.42 PaCO2 30 mmHg HCO3- 15 mEq/L The client has ___________respiratory alkalosis.

fully compensated

After reviewing the most recent arterial blood gas results, the nurse recognizes that compensation by the kidneys _______ begun.

has

Respiratory alkalosis results in ____ pH and ____ PaCO2.

increased decreased

Review both the Client Information and Vital Signs tabs of the electronic health record (EHR) and then select the assessment findings that indicate respiratory alkalosis. Abbie Townsend (pronouns: she/her/hers) is a 60-year-old client who presents to the emergency department via ambulance with a suspected aspirin overdose. She is confused and dyspneic with a decreased level of consciousness and is diaphoretic and vomiting. She has a history of two previous suicide attempts and is diagnosed with major depressive disorder. Temperature 101.4 °F (38.6 °C) Pulse 110 Respiratory rate 35 Blood pressure 90/52 Oxygen saturation 88% on room air

Abbie Townsend (pronouns: she/her/hers) is a 60-year-old client who presents to the emergency department via ambulance with a suspected aspirin overdose. She is confused and dyspneic with a decreased level of consciousness and is diaphoretic and vomiting. She has a history of two previous suicide attempts and is diagnosed with major depressive disorder. Temperature 101.4 °F (38.6 °C) Pulse 110 Respiratory rate 35 Blood pressure 90/52 Oxygen saturation 88% on room air

Despite treatment with rebreathing techniques, activated charcoal, and supplemental oxygen, the client is not improving. Respiratory rate is 40 and the client is losing consciousness. For which procedure should the nurse prepare? pH 7.59 PaCO2 18 mmHg PaO2 82 mmHg HCO3- 24 mEq/L

Insertion of an endotracheal tube and mechanical ventilation​

John Thompson (pronouns: they/them/theirs), age 40, presents to the emergency department with shortness of breath. They are talking rapidly and having trouble sitting still for an assessment to be performed. The client reports that they were just fired from a job they held for the past 20 years and voices anxiety about supporting their family.

John Thompson (pronouns: they/them/theirs), age 40, presents to the emergency department with shortness of breath. They are talking rapidly and having trouble sitting still for an assessment to be performed. The client reports that they were just fired from a job they held for the past 20 years and voices anxiety about supporting their family. Respiratory rate of 32

Which assessment findings are consistent with respiratory alkalosis? Select all that apply.

Nausea & Vomitting chvostek's sign irritability and anxiety rapid, deep, respirations

Arterial blood gas results are pH 7.51, PaO2 94 mmHg, PaCO2 27 mmHg, and HCO3- 20 mEq/L. Which acid-base imbalance is Liam experiencing?

Partially compensated respiratory alkalosis​

Which medical conditions may result in respiratory alkalosis? Select all that apply.

Uncontrolled pain & anxiety salicylate poisoning liver failure