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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...

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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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Summary

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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