What is this patient primary acid-base abnormality

Assignment Help Other Subject

Reference no: EM133807098

Problem

HLM a 59 YO Black female Ht 5'4" WT 160 lbs is admitted to SICU S/P cholecystectomy. The patient was doing well for the next 2 days but on the third day, she was found to be in a severe septic syndrome and severe dehydration status with BP 80/45, HR 125 RR 35 T-104, UO of 15 ml/Hr. SrCr 2.6 BUN 59 Na 157 K 6.7 Cl 120 CO2 19 Glu 200 WBC 24 Hgb 6.5 Hct 20 PIt 130 albumin 2.3 Ca 7.5 Lactic acid 6.2. ABGs: pH 7.15 PCO2 30 PO2 93 HCO2 18 02 sat 95 BE -3. The patient was started on 1000 mL of Ringer's Lactate stat then 2L @ 200 ml/Hr. EKG shows tachycardia, prolonged PR intervals, high peak T waves and widened QRS complexes. Blood, urine and wound samples were sent to the lab for cultures and sensitivity. Get the instant assignment help. The blood and wound cultures came back positive for Enterobacter cloacae, MRSA and Bacteroides fragilis. What is this patient primary acid-base abnormality?

Reference no: EM133807098

Questions Cloud

Which finding is important for nurse to healthcare provider : The nurse examines a client admitted with a deep, constant pain in the abdomen. Which finding is most important for the nurse to the healthcare provider?

Which assessment should the nurse implement : The nurse is evaluating a male clients hearing who reports hearing best in the left ear. Based on this finding, which assessment should the nurse implement?

Which information is most important for obtain : The nurse observes a red rash located in multiple body folds of an obese client. When interviewing the client which information is most important for obtain?

Which action taken by caregiver demonstrates understanding : Otitis Media A nurse is caring for 5-year-old child who has been recovering. Which action taken by the caregiver demonstrates understanding of the instructions?

What is this patient primary acid-base abnormality : The blood and wound cultures came back positive for Enterobacter cloacae, MRSA and Bacteroides fragilis. What is this patient primary acid-base abnormality?

Which agents you recommend to correct patients hyperkalemia : Blood, urine and wound samples were sent to the lab for cultures and sensitivity. Which agents would you recommend to correct this patient's hyperkalemia?

Which iv fluid would you give to patient that would increase : HLM a 59 YO Black female Ht 5'4" WT 160 Ibs is admitted. Which IV fluids would you give to the patient that would increase the patient's oncotic pressure?

What client education will be provided regarding cast care : What client education will be provided regarding cast care? What assessments will you complete after the cast is applied and why?

Which nursing problem included in this clients plan of care : In assessing an adult client, the nurse calculates the body mass index, (BMI) as 14 kg/m. Which nursing problem should be included in this clients plan of care?

User Account

All Pages