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Rasmussen College, Florida *
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2392
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Health Science
Date
Feb 20, 2024
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docx
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Uploaded by KidDugong3672
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Module 5: Acid-Base Imbalance
Rasmussen University
NUR2392: Multidimensional Care 2
May 7
th
, 2023
2
Module 5: Acid-Base Imbalance
Tony is experiencing respiratory acidosis, which is characterized by low pH, high PaCO2, and normal or low HCO3 (Workman, 2021). In Tony’s case, his pH is 7.28 (low), PaCO2 is 55 mm Hg (high), and HCO3 is 30 mEq/L (normal). This acid-base imbalance is due to his chronic obstructive pulmonary disease (COPD) and asthma, which impairs his ability to exhale carbon dioxide (CO2) effectively, leading to the accumulation of CO2 in the bloodstream and subsequent acidosis.
As a result of the acid-base imbalance, Tony is exhibiting signs and symptoms such as shortness of breath, increased respiratory rate, heart rate, and blood pressure, cough, fever, and fatigue. He also has low oxygen saturation (84%) due to decreased oxygenation in the lungs.
The multidimensional care strategies that are appropriate for Tony include:
1.
Respiratory support: Tony needs immediate oxygen therapy to improve his oxygenation and respiratory rate. He should be started on high-flow oxygen therapy to achieve an oxygen saturation of at least 90%. He may also need mechanical ventilation if his condition worsens (Workman, 2021).
2.
Medications: Tony should receive bronchodilators to open his airways and improve his breathing. He may also need corticosteroids to reduce airway inflammation and antibiotics if he has a bacterial infection (Workman, 2021).
3.
Monitoring: Tony should be closely monitored for changes in his respiratory rate, heart rate, blood pressure, oxygen saturation, and level of consciousness. His ABG levels should also be monitored regularly to ensure that his acid-base balance is improving (Workman, 2021).
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4.
Lifestyle modifications: Tony should be advised to quit smoking and avoid exposure to environmental irritants that can worsen his respiratory symptoms (Workman, 2021).
5.
Education: Tony and his family should receive education on managing his COPD and asthma, including proper use of medications, self-monitoring of symptoms, and recognition of signs of exacerbation (Workman, 2021).
6.
Referral: Tony may need to be referred to a pulmonologist or a respiratory therapist for further evaluation and management of his respiratory condition. He may also benefit from pulmonary rehabilitation to improve his lung function and quality of life (Workman,
2021).
In conclusion, Tony’s acid-base imbalance is respiratory acidosis due to his COPD and asthma. Immediate multidimensional care strategies are essential to improve his respiratory function and prevent further complications.
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References
Workman, D.I.M. L. (2021). Medical-Surgical Nursing
(10th ed.). Elsevier Health Sciences (US). https://ambassadored.vitalsource.com/books/9780323654050