Question

Isaac ,63 years old, was admitted to the hospital with a diagnosis of diabetes. On admission the nurse assesses rapid respiration, confusion, and signs of dehydration.

1. Isaac’s arterial blood gas values are PH 7.27; HCO3 20 mEq/L; PaO2, 33 mm Hg. The nurse understands that the patient is compensating at this time. What do the blood gas results indicate for this patient?
2. What does the nurse recognize are the manifestations associated with the alteration in acid-base balance?
3. In terms of cellular buffering response, what should the nurse expect the major electrolyte disturbance to be?
4. What prescribed intravenous medication does the nurse anticipate administering to correct the acid base imbalance?

Answer 1

1The condition of patient is called DIABETIC KETO ACIDOSIS.

The patients record suggest that he has rapid respirations and is confused.Rapid and deep breathing patterns are collectively known as Kussumaul's respiration.Confusion is also another manifestation that occur with acid base imbalances.

As a part of buffering there will be alterations in serum potassium levels.For diabetic keto ACIDOSIS main aim or objective is hydrating the patient and 0.9,%sodium chloride with insulin added infusion.There are chances of hypokalemia to occur.so serum blood values should be assessed.