Reference no: EM133260482
ACID-BASE IMBALANCES:
Multitude of patient's conditions can predispose them to different acid-base imbalances. Several patients were admitted in the medical-surgical ward and are put under your care. Answer the following questions pertinent to the patients' conditions.
PATIENT A-admitted in the medical ward 30 minutes ago with chief complaint of severe dizziness and vertigo accompanied by frequent vomiting. As the patient moves, vomiting follows which is now recorded to be 7-8 times from the time of admission. Diphenhydramine 1 ampule TIV and metoclopramide 1 ampule TIV as stat doses were given to the patient.
PATIENT B-a dialysis patient who have stopped attending his dialysis session was admitted in the ward due to changes in sensorium. Serum creatinine level is elevated as well as the Blood Urea Nitrogen (BUN). Shallow respiration is noted upon the assessment of the patient.
PATIENT C-a patient was rushed to the emergency department and later was admitted to the ward with chief complaint of shortness of breath, numbness and tingling around mouth and fingers, and lightheadedness after taking a major examination in school. The patient was offered a brown bag by the admitting nurse.
PATIENT D-A patient with emphysema as admitted in the ward due to difficulty of breathing. The patient appears reddish and is complaining of lightheadedness. The patient was immediately hooked to oxygen therapy at 2 Lpm. Choose from the following ABG results which will be consistent with the patient's condition:
A.pH 7.50 PaC02 31 HCO3 17
B.pH 7.30 PaC02 30 HCO3 18
C.pH 7.48 PaC02 49HCO3 30
D.pH 7.32 PaC02 50 HCO3 28
- Patient A: __
- Patient B: __
- Patient C: __
- Patient D: __
- Explain why Patient B presented with shallow respiration in relation to the patient's condition.
- Explain why Patient D experiences lightheadedness and why the patientappears reddish in relation to the patient's condition.
- Explain the purpose of offering brown bag to Patient C as an emergency management for the patient's condition.
- MAKE a drug study for the medication: METOCLOPROMIDE specifying the following:
- Drug classification
- Mechanism of action
- Indication (*for the case of the patient mentioned above)
- Contraindication
- Side effects
- Nursing Considerations
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