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System disorder Metabolic acidosis
Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263)
San Antonio College
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ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A
System Disorder
STUDENT NAME _____________________________________ DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
ACTIVE LEARNING TEMPLATE:
ASSESSMENT SAFETY CONSIDERATIONS
PATIENT-CENTERED CARE
Alterations in Health (Diagnosis)
Pathophysiology Related to Client Problem
Health Promotion and Disease Prevention
Risk Factors Expected Findings
Laboratory Tests Diagnostic Procedures
Complications
Therapeutic Procedures Interprofessional Care
Nursing Care Medications Client Education
LVN Metabollic acidosis 45
Acid-Base imbalance
If DKA adm insulin. if gi loss adm antidiarrheals and rehydrate, administration of sodium bicarb if Hco3 is low (1mEq/kg). treat underlying cause. educate pt on their condition
Review pH, HCO3, PaCO2, PaO (ABG's)
ABG's, (pH, HCO3, PaCO2)
an imbalance of kidney buffers, respiratory buffers and chemical buffers. Bicarb is abnorally low and increased H (pH). The kideys try to compensate
dysrhythmias, bradycardia, weak pulses , tachypena, headache, drowziness, confusion, rapid deep respirations (kassmauls resp). pt warm dry and pink
encourage healthy diet, smoking cessation, drink 6-8 cups of h20/day, maintain healthy weight
DKA, starvation, excessive intake of acids, inadequate elmination of H+, excessive intake of H+, lactic acidosis, impaired liver/pancreatic functions, diarrhea (Excessive elimination of Bicarb)
avoid excessive alcohol consumption, maintain hydration, maintain diabetes medication regimen to avoid DKA Imortant to avoid using laxatves and diets that are restrictive
nephrology pulmonology RT Cardiologist Pharmacist
adhere to diaylsis reg, take daily weights, stop smoking, take meds as prescribed and educate on and referrals for home oxygen.
Sodium Bicarb 1mEq/kg Acetate Citrate insulin for DKA antidiarrheals antipuretics o treat underlying cause with proper medications as per MD order
make sure call light is within reach, aviod excessive vomitting and diarrhea, replenish fluids adequately exercise
Decline in LOC Cardiac dysrhythmias convulsions, respiratory arrest and coma shock death
System disorder Metabolic acidosis
Course: Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263)
University: San Antonio College
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