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Summary acid base imbalance.docx NUR 2392 Acid-Base Imbalance Rasmussen University NUR2392 Section TBP2 Multi dimensional Care Acid-Base Imbalance From the scenario, the client Tony is experiencing shortness of breath and he is not feeling good for the pas$7.49
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Summary acid base imbalance.docx NUR 2392 Acid-Base Imbalance Rasmussen University NUR2392 Section TBP2 Multi dimensional Care Acid-Base Imbalance From the scenario, the client Tony is experiencing shortness of breath and he is not feeling good for the pas
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acid base NUR 2392 Acid-Base Imbalance Rasmussen University NUR2392 Section TBP2 Multi dimensional Care Acid-Base Imbalance From the scenario, the client Tony is experiencing shortness of breath and he is not feeling good for the past week. He had a past medical history of asthma, chronic o...
acid base imbalancedocx nur 2392 acid base imbalance rasmussen university nur2392 section tbp2 multi dimensional care acid base imbalance from the scenario
the client tony is experiencing shor
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NUR 2392
Acid-Base Imbalance
Rasmussen University
NUR2392 Section TBP2 Multi dimensional Care
Acid-Base Imbalance
From the scenario, the client Tony is experiencing shortness of breath and he is not feeling good
for the past week. He had a past medical history of asthma, chronic obstructive pulmonary disease, and
diabetes. Tony’s lab values were as follows: pH: 7.28 (Low-acidic), PaCO2: 55 mmHg (High-acidic),
PaO2:
70 mm Hg (Low), HCO3: 30 mEq/L (High-basic), and SpO2: 84% (Low). From these values, we can
determine that he is experiencing respiratory acidosis. “Respiratory acidosis occurs when the respiratory
function is impaired and the exchange of O2 and CO2 is reduced, which causes CO2 retention, and leads
to the same increase in hydrogen ion levels and acidosis” (Rebar, Ignatavicius, Workman, p. 192, 2017).
The pH value less than 7.35, HCO3 greater than 26 mEq/L, and PaCO2 greater than 44 mmHg make the
respiratory functions impaired and will have problems with oxygen and carbon dioxide.
There are many possible causes for this imbalance that lead to compensated respiratory acidosis. An
elevated PaCO2 will be the primary problem the leads to it. Compensation is the body’s attempt to
recover from the primary disorder to achieve homeostasis. The kidneys will compensate by excreting
more hydrogen ions and retaining HCO3 which will increase to move the pH back to normal. The
metabolic system is trying to increase the bicarbonate (HCO3) to help balance out the acidotic conditions
by trying to make the blood more basic; therefore, the blood pH will be pushed higher to make it
normal. “The PaO2 is low and PaCO2 is high because the pulmonary problem impairs gas exchange,
causing poor oxygenation and CO2 retention,” (Rebar, Ignatavicius, Workman, p. 194, 2017). The
kidneys and lungs play a major role in the compensation process to correct the pH. Another major factor
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