Problem
I. Your patient is admitted to the intensive care unit following a Motor vehicle accident 2 days ago. He sustained a head injury and is comatose.
ABG's reveal the following: pH 7.34; PaCO2 48 mm/Hg; HCO3- 32 mEq/L
i. What type of acid base imbalance is present?
ii. Is it compensated? Partially compensated? or not compensated?
II. Identify two types pharmacologic therapy would the nurse expect to be ordered for treatment of respiratory acidosis?
Indicate medication action as to why it would help this condition
III. A 70-yr-old man was admitted with severe congestive heart failure. He had not been feeling well for the past week and has had vomiting the past 5 days. He is hyperventilating and distressed.
Labs as follows:
Na 127, K+ 5.2 ABG: pH 7.58; PaCO2 21, HCO3- 19
Indicate the acid base imbalance and the rationale for your choice.