Acid Base Case Study
Description
- Read the Immune Case Study.
- Henry was admitted to the emergency room with the following symptoms headache, nauseous, confused and extreme sleepiness. Labs were drawn and the following results were returned:
- Arterial Blood Gas (ABG)
pH: 7.25
Pco2: 33
HCO3-: 15 mEq/L
- Download the case study worksheet.
- Answer the following questions, including detail and appropriate explanations:
- o What is an ABG? Why or when is it usually performed?
- What are the normal values for the labs listed above?
- Describe the 3 systems in the body that work together to regulate pH.
- What type of acid/base imbalance is present in Henry?
- Is Henrys body compensating? If so is it partially or fully compensated? Explain your reasoning.
- Explain how the compensatory mechanism is going to affect this imbalance. Relate your answer to the following equation:
CO2 + H20 ? H2CO3 ? HCO3- + H+ - What organ system is responsible for compensating in this case?
- What changes will be observable when the organ system compensates?
- Explain 3 common causes of this type of acid/base imbalance.
Please be sure to validate your answers with citations and references in APA format.
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References:
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Living Guideline
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Evidence-based practice
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Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
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Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
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Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
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Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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