Nursing Fluid And Electrolytes

Front 1

Respiratory Acidosis labs

Back 1

Excess CO2
pH < 7.35
PaCo2 > 45
K+ > 5

Front 2

Respiratory Acidosis Causes:

Back 2

 Asthma, Atelectasis, brain trauma, bronchitis, CNS depressant, pulmonary edema, pneumonia, pulmonary emboli.

Front 3

Respiratory Acidosis Signs and Symptoms

Back 3

Drowsiness, dizziness, disorientation, headache, coma, decreased blood pressure, warm flushed skin, hypoventilation, seizures, tachycardia, dyspnea, dysrrythmia, anxiety, irritiablity, confusion

Front 4

Respiratory Acidosis nursing Interventions:

Back 4

- monitory for signs and syptoms of respiratory distress.
-correct breathing, pick up pace.
Incentive spirometer
Administer Oxygen (watch not to give too much)
Place in semi-fowlers
TCDB
Suction airway if needed
Reduce restlessness
Monitor electrolyte values particularly potassium

Front 5

Respiratory Alkalosis labs

Back 5

pH > 7.45
PaCO2 < 35
K < 3.5

Front 6

Respiratory Alkalosis Causes:

Back 6

Hyperventilation, fever, hysperia, pain, hypoxia

Front 7

Respiratory Alkalosis signs and symptoms

Back 7

lethargy, light-headedness, confusion, tachycardia, nausea, vomiting, epigastric pain, diarrhea, tetany, tingling, numbness of extremities, seizures, hyperventilation

Front 8

Respiratory Alkalosis nursing interventions

Back 8

Monitor for signs of respiratory distress
Encourage appropriate breathing patterns (paper bag)
Voluntary holding of breath
Monitor electrolyte values, particularly calcium and potassium.
Prepare to administer calcium gluconate for tetany!

Front 9

Metabolic Acidosis labs

Back 9

pH < 7.35
HCO3 < 22
K > 5

Front 10

Metabolic Acidosis causes:

Back 10

diabetic mellitus, DKA, excessive ingestion of aspirin, high-fat diet, malnutrition, severe diarrhea, renal failure

Front 11

Metabolic acidosis signs and symptoms

Back 11

drowsiness, headache, lethargy, confusion, coma, decrease blood pressure, warm flushed skin, bradycardia, nausea, vomiting, diarrhea, abdominal pain, Kussmual's respiration (deep and rapid)

Front 12

Metabolic acidosis nursing interventions:

Back 12

Monitor for signs and symptoms of respiratory distress.
Assess LOC
Monitor I&O
Monitor K levels for decrease

Front 13

Metabolic Alkalosis labs

Back 13

pH > 7.45
HCO3 > 22
K < 35