MDC 2 Assignment 5
Module 05 Written Assignment Acid-Base ImbalanceCompetencyDescribe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.ScenarioTony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states I havent felt good for about a week, but couldnt afford to miss work. He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease, and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, his heart rate is 115 beats per minute, his blood pressure is 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and arterial blood gas.Tonys ABG results:pH 7.28PaCO2 55 mm HgPaO2 70 mm HgHCO3 30 mEq/LInstructionsIn a 1-2 page Word document:Determine Tonys acid-base imbalanceDescribe possible causes of the imbalanceIdentify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalanceList the multidimensional care strategies that are appropriate for the care of Tony
