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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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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
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