What is the anticipated cause of Metabolic Acidosis? - Diabetic Ketoacidosis or DKA Renal Failure Lactic Acidosis from Sepsis Excessive Diarrhea Signs & Symptoms that need to be monitored with Metabolic Acidosis? - Coma! Hypovolemic Shock Potassium Disturbance (Hyperkalemia) Labs to review for Metabolic Acidosis? - If DKA - Glucose + Potassium If Renal Failure - BUN, Creatinine, Potassium Nursing Interventions for Metabolic Acidosis - If DKA - Administer Fluids and Insulin, Assess for...

What is the best indicator of fluid volume status? Daily Weight Urine specific gravity greater than _____ means urine is concentrated 1.025 Urine specific gravity less than _____ means urine is dilute 1.012 What are the 3 most important labs for fluid volume? Hct, BUN, Na Will Hct, BUN and Na increase or decrease with hypervolemia? Decrease Will Hct, BUN and Na increase or decrease with hypovolemia? Increase Normal urine output 0.5 mL/kg/hr normal skin turgor retraction time 2-3 s...

Minimum urine output? - 0.5ml/kg/hr How to calculate MAP? - Double diastolic + systolic / 3 Below 65 (or 70 in a healthy person) means the organs are not being properly perfused. This is a critical situation. Used to identify hypotension Nursing intervention for monitoring fluid volume - MAP I&Os Daily weights Lab data for monitoring fluid volume - Sodium, BUN, Hct signs/symptoms of fluid overload - Crackles, edema, hyponatremia (dilutional), bounding pulse, elevated BP/ MAP At risk f...

The nurse is caring for a patient who is receiving IV furosemide and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. Which clinical finding is the best indicator that the treatment has been effective? a. Weight loss of 2 lb in 24 hours b. Hourly urine output greater than 60 mL c. Reduced dyspnea with the head of bed at 30 degrees d. Patient denies experiencing chest pain or chest pressure - Reduced dyspnea with the head of bed at 30 degrees W...