Tony.edited

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Western University *

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2961

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Chemistry

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Nov 24, 2024

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1 Module 05 Assignment Acid-base imbalance Rasmussen University Multidimensional Care II Melissa Mullins Date
2 Tony’s Acid-Base Imbalance The ABG results for Tony show counterbalanced respiratory acidosis, where his lungs cannot remove all the carbon dioxide in the body. Tony has a pH level of 7.28, far below the typical range of 7.35 to 7.45. According to the PaCO2 measurements, tony has excessive amounts of CO2 (55 mmHg). A PaCO2 of 35 to 45 mmHg indicates retention of CO2, which leads to excessive acid in the blood. Tony's measurement of 30 mEq suggests compensation occurred; a bicarbonate concentration is between 22 and 26 mEq(Workman, D.I.M. L., 2021). The pH was not restored to standard despite the presence of compensation. As a result, it is compensatory. The average oxygen levels in the blood should be 80-100 mm Hg, but due to increased levels of CO2, tony has a paO2 of 70 mm Hg. Possible Causes of the Imbalance The Situation stated that Tony had a breathing rate of 36 beats/min and was having trouble breathing. The history of COPD and asthma complications have been exacerbated by poor oxygen delivery. Consequently, his blood’s pH levels dropped and became more acidic due to excessive CO2 accumulation. The excessive production of CO2 is a result of limited intake of oxygen in the bloodstream hence low oxygen levels in the bloodstream (Hopkins et al., 2022). The HCO3 values of Tony were 30 mEq/L, which itself is increased to make up for the acidity and return the pH to the standard limit. His breathing difficulty is also significant, most likely tied to his nervousness. The signs and symptoms that Tony is exhibiting Higher pulse and breathing rate, elevated blood pressure, heaviness, headaches, and mental fog are all symptoms of respiratory acidosis. The following indications and indicators of
3 Tony's acid-base imbalance are present. He has tachycardia, tachypnea, and a heart rate of 115 beats per minute. His blood pressure is 90/40, and he reports feeling a temperature (Tidy, 2021). Throughout the week, he has been coughing and exhausted. The multidimensional care strategies that are appropriate for the care of Tony The diagnosis and treatment of acidosis necessitate multifaceted care attributable to its complicated nature. The diagnosis aids in determining the patient's underlying health issues and the complexity of the ailment. The goal of ailment' therapy is supposed to increase oxygenation and respiration (Lone, 2021). The client may have chest treatment as instructed by the physician at precise intervals. The therapy can assist in removing secretions, enhancing the respiratory, and enabling the expulsion of extra CO2. Steroid inhalers may be administered to counteract some forms of respiratory blockages and lessen the frequency of bronchospasms. By enhancing the diaphragm's capacity for contraction and activating the ventilatory center, theophylline may aid in promoting deeper breathing (Patel & Sharma, 2022). Establishing safety precautions, assisting placement, monitoring I&O, delivering fluids as directed, providing oxygen and medicines as required, monitoring respiratory status and regular vital signs, and testing arterial blood gases. Detecting problems requires routine evaluation. To notice trends in the circulatory tract, keep an eye on the patient's respiration condition and listen for shallow breathing. Observe how the auxiliary muscles are used and look for retractions to determine if the client has any breathing problems (Lone, 2021). Examine the client's natural nails to see whether sufficient blood flow and oxygen delivery occur.
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4 References Hopkins, E., Sanvictores, T., & Sharma, S. (2022, September 12). Physiology, acid-base balance . National Center for Biotechnology Information. Retrieved February 3, 2023, from https://pubmed.ncbi.nlm.nih.gov/29939584/ Lone, N. A. (2021, August 27). Respiratory acidosis treatment & management . Approach Considerations, Pharmacologic Therapy, Oxygen Therapy. Retrieved February 3, 2023, from https://emedicine.medscape.com/article/301574-treatment Patel, S., & Sharma, S. (2022, June 21). Respiratory acidosis . National Center for Biotechnology Information. Retrieved February 3, 2023, from https://pubmed.ncbi.nlm.nih.gov/29494037/ Tidy, D. C. (2021, April 21). Acid-base balance. Information about acid-base homeostasis. Patient . Patient.info. Retrieved February 3, 2023, from https://patient.info/doctor/acid- base-balance Workman, D.I.M. L. (2021). Medical-Surgical Nursing (10th Edition). . Vitalsource Bookshelf Online. Retrieved February 4, 2023, from https://ambassadored.vitalsource.com/books/9780323654050