acid base balance
if she has stairs in the home
As the nurse evaluates millies home for safety what should she include?
medication reconciliation
what is the priority discharge teaching for Millie?
respiratory acidosis manifestations
-hypoventilation leading to hypoxia -dysrhythmias -rapid shallow respirations -drowsiness/ -hypotension with vasodilation dizzziness/ -dyspnea disorientation -headache -weakness/ -hyperkalemia hyperflexia -warm flushed skin
metabolic alkalosis (manifestations)
-numbness/tingling -restlessness caused by lethargy -dizziness -tachycardia -Trousseau sign -compensatory hypoventilation -muscle spasms -hypokalemia -respirations depressed -nausea/vomiting/diarrhea -resp failure with hypoxemia
loss of electrolytes through urination
How do diuretics cause metabolic alkalosis?
Body contains bicarb to compensate for electrolyte loss.
How does bicarbonate excess cause metabolic alkalosis?
Not enough oxygenated blood to the brain
How does metabolic acidosis cause lethargy?
loss of acid from the body through vomiting
How does nausea and vomiting cause metabolic alkalosis?
The amount of aspirin she is taking.
Millie is taking Prednisone, Furosemide, ASA Oxycodone, and extra strength aspirin. What is concerning for the nurse?
Moisten her lips and continue to allow the hyperventilation.
The nurse hypothesizes that Millie's hyperventilation is a result of metabolic acidosis from acetylsalicylic acid ingestion. What action would be appropriate?
acetylsalicylic acid overdose
What could cause millies confusion, hyperventilation, vomiting, and tinnitus?
Compensatory hyperventilation to blow of high levels of CO2
What do Kussmaul's respirations have on acid base balance?
metabolic acidosis
What type of acid base balance is associated with Kussmaul's respirations?
Kussmaul's respirations
deep labored breathing
Causes of respiratory alkalosis and why
hyperventilation (anxiety, PE, fear), mechanical ventilation low CO2 levels cause vasoconstriction of cerebral vessels
-lactic acidosis -lung cancer -Type 1 diabetes -heart failure -shock -tissue hypoxia -DKA -renal disease -renal failure -diarrhea -overuse of laxatives -intestinal suctioning -abd fistulas
what causes metabolic acidosis?