NUR 641E Week 3 Acid-Base Case Study Paper
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Read
the “Resource 1: Case Study.” Read below
Answer
the questions at the end of the case study in a paper of 750-1,000 words.
Prepare
this assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This
assignment uses a rubric. Please review the rubric prior to beginning the
assignment to become familiar with the expectations for successful completion.
Case
Study =
A
22-year-old woman reports being “sick with the flu” for the past 8 days. She is
vomiting several times every day, having difficulty keeping liquids or food
down, and has been using more than the recommended dose of antacids in an
attempt to calm the nausea. She has become severely dehydrated. After fainting
at home, she was taken to a local hospital. An arterial blood gas sample was
drawn and then an IV was placed to help rehydrate her. The arterial blood gas
revealed the following:
Test
Result
Normal levels
pH
7.5
7.35 – 7.45
PaCO2
40 mm Hg
35-45 mm Hg
PaO2
95 mm Hg
80-100 mm Hg
SaO2
97%
95-100%
HCO3-
32 meq/liter
22-26 meq/liter
How
would you classify the patient’s acid-base disturbance and explain why?
Given
the case study, what are the possible factors causing this acid-base
disturbance? Explain the pathophysiology created by these factors.
How
would the renal and respiratory systems try to compensate for this acid-base
disturbance?
What
pharmacologic intervention is commonly used to correct this acid-base
disturbance? Describe the pharmacological actions.
Describe
the educational needs for this patient and what your approach will be.
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