The respiratory system within the human body is consisted of many different organs and the lungs play a role in controlling the pH. There are times in which a patient respiratory status becomes compromised and the need for quick thinking or response from the health care professional, can help save the patient life. The respiratory imbalance experienced by the patient can be interpreted as metabolic acidosis or metabolic alkalosis through the collection of an arterial blood gas. The patient lab work is collected, and interventions can be performing to help restore the patient back to their health. First, this paper will discuss the pathophysiology and compensation of metabolic acidosis and metabolic alkalosis. Secondly, there will be a discussion
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There is an increase in the bicarbonate HCO3 and the PCO2, pH maybe high or normal (McCance and Huether, 2019). As the acids are build up in the body, the kidneys are unable to get rid of the excessive acid. As this process continues, the kidneys began to fail and can no longer excrete the acid and this process results in metabolic alkalosis. The body attempts to compensate during metabolic alkalosis, when the pH begins to rise through decreasing the patient respiration rate. As the patient respiration decreases, carbon dioxide is retained, the HCO3 concentration to H2CO3 concentration is reduced to normal. The compensation taking place is not adequate or sufficient for the patient. The need for an alternate form of treatment becomes necessary during this transition for the patient to …show more content…
The patient experience a decreased with their respiration or breathing pattern. During this process, the carbon dioxide in retained and this creates a greater risk for the patient to develop more severe symptoms. The symptoms can progress to the patient experiencing with confusion and convulsions (McCance and Huether, 2019).
Anion Gap During metabolic acidosis, the anion gap is often used to show the different types of metabolic acidosis. In the anion gap, there is a measurement of the difference between the sum of sodium and potassium concentration and the sum of HCO3 and CL concentration. A normal anion gap in metabolic acidosis, is the bicarbonate loss when there is a retention of chloride; this process takes place in order to keep an ionic balance (McCance and Huether, 2019).
There is an increase in the bicarbonate HCO3 and the PCO2, pH maybe high or normal (McCance and Huether, 2019). As the acids are build up in the body, the kidneys are unable to get rid of the excessive acid. As this process continues, the kidneys began to fail and can no longer excrete the acid and this process results in metabolic alkalosis. The body attempts to compensate during metabolic alkalosis, when the pH begins to rise through decreasing the patient respiration rate. As the patient respiration decreases, carbon dioxide is retained, the HCO3 concentration to H2CO3 concentration is reduced to normal. The compensation taking place is not adequate or sufficient for the patient. The need for an alternate form of treatment becomes necessary during this transition for the patient to …show more content…
The patient experience a decreased with their respiration or breathing pattern. During this process, the carbon dioxide in retained and this creates a greater risk for the patient to develop more severe symptoms. The symptoms can progress to the patient experiencing with confusion and convulsions (McCance and Huether, 2019).
Anion Gap During metabolic acidosis, the anion gap is often used to show the different types of metabolic acidosis. In the anion gap, there is a measurement of the difference between the sum of sodium and potassium concentration and the sum of HCO3 and CL concentration. A normal anion gap in metabolic acidosis, is the bicarbonate loss when there is a retention of chloride; this process takes place in order to keep an ionic balance (McCance and Huether, 2019).