Module 05 Written Assignment “ Acid-Base Imbalance Competency Describe strategie

Module 05 Written Assignment “ Acid-Base Imbalance Competency Describe strategies for safe effective multidimensional nursing care for clients with acid-base imbalances. Scenario Tony is a 56-year-old Hispanic male that presented to the Emergency Room with complaints of shortness of breath which he has been experiencing for the past two days. He states I havent felt good for about a week but couldnt afford to miss work. He complains of a cough fever and feeling exhausted. Past medical history includes asthma chronic obstructive pulmonary disease and diabetes. Upon physical examination you notice that Tony is struggling to breathe his respiratory rate is 36 breaths per minute and labored his heart rate is 115 beats per minute his blood pressure is 90/40 mm Hg and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and arterial blood gas. Tonys ABG results: pH 7.28 PaCO2 “ 55 mm Hg PaO2 “ 70 mm Hg HCO3 “ 30 mEq/L Instructions In a 1-2 page Word document: Determine Tonys acid-base imbalance Describe possible causes of the imbalance Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance List the multidimensional care strategies that are appropriate for the care of Tony

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