Acid imbalances: Your to-do list.

Acid imbalances: Your to-do list.

Respiratory Acidosis

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Nursing actions: Assess the respiratory status, lung sounds, intake and output frequently, maintain adequate hydration, and ensure patent airway and ventilation.

Metabolic Acidosis

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Nursing actions: Monitor client's intake and output, Arterial Blood Gas (ABG) values, client's level of consciousness, and treat the underlying causes, as ordered.

Respiratory Alkalosis

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Nursing actions: Monitor client's vital signs and Arterial Blood Gas levels, and assist client to breathe at a slower rate or thru the aid of brown (paper) bag.

Metabolic Alkalosis

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Nursing actions: Monitor vital signs, intake/output and client's level of consciousness.

Respiratory Acidosis

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CAUSES: Over dosage of narcotics or sedatives, acute respiratory conditions that alters alveolar gas exchange and COPD

Respiratory Alkalosis

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CAUSES: Anything that causes hyperventilation such as hyperthermia, anxiety and stress.

Metabolic Alkalosis

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CAUSES: Excessive gastric acid loss due to vomiting or gastric acid suctioning and elevated Adrenal Corticoid Hormones due to conditions like Hyperaldosteronism and Cushing's syndrome.

Metabolic Acidosis

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CAUSES: Loss of alkaline in the gastrointestinal tract due to prolonged diarrhea and excessive chloride-containing intravenous fluid infusions.

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