Question

potassiun muai B.s history, why might Cir have more serious effects on Part C: Day 3: Admission to the Hospita After a prolonged period vomiting bs of vomiting, metabolic acidosis develops. This change results from a number of factors: . Loss of bicarbon ate ions in duodenal secretions Lack of nutrients leading to cata bolism of stored fats and protein with production of excessive a amounts of ketoacids Dehydration and decreased blood volume leading to decreased excretion of acids by the kidney Decreased blood volume leading to decreas perfusion, less oxygen to cells, and increased anaerobic metabolism with increased lactic acid Increased muscl metabolic acid production These factors lead to an increased amoun e activity and stress leading to increased t of acids in the blood, which bi serum bicarbonate and decreased serum P acidosis nd with bicarbonate buffer and result in decreased H or metabolic 11. 12. List several reasons why Mr. K.B. is lethargic and w Predict the serum level of carbon dioxide or carbonic acid in this case. eak. 13. If Mr. K.B. continues to lose body fluid, why might serum pH decrease below 7.35?

Answer 1

Q. No 11. Answer :

Mr. K.B lethargic and weak because of vomiting fluid loss from the body, it leads hypovolemia, and if it still increases hypovolemic shock.

* lack of nutrients obsorption in stomach due to vomiting, every nutrients comes out.

* severe dehydration due to vomitings and fluid loss.

* increased muscle activity.

* decreased blood volume. Etc.

These are the causes for Lethargic and weakness of the client.

Q. No. 12.Answer:

During ABG (arterial blood gas) analysis we can know the carbondioxide level in these condition.

* decreased carbon dioxide levels we can see because excess breathing we can find decreased carbondioxide levels.

* carbon dioxide levels may be below 38 %.

* the ratio of bicarbonate to carbonic acid buffer is 20:1.

Q. No. 13.Answer:

* due to decreased blood volume, dehydration, loss of bicarbonates, stress ,there is a acid (HCL) production but in these hydrogen ion binds with the bicarbonates (HCO3) resulting in decreased serum PH.

* so the serum PH is below 7.35.

Q. No. 14.Answer :

* signs includes rapid and slow breathing or Bradypnea.

* tachycardia

* fatigue

* head ache

* confusion

* giddiness

* sleepiness

* loss of appetite. Etc.

These signs we may observes in metabolic acidosis.

Q. No. 15.Answer:

Effects of acidosis in serum potassium levels includes

* hyper kalemia in acidosis, that means increased potasium levels in acidosis.

* hypo kalemia with alkolosis, it means decreased potasium levels along with alkolosis.

* Hypokalemia with acidosis , increased potassium levels along with acidosis.

* these are all changes may occurs due to the acid base disturbances which may leads to potassium ions shifts into the cell and out of the cells.

* these is the acidosis effect on potassium.

Q. No. 16.Answer:

* fluid therapy can decreases the acidity level in the body.

* by giving more fluids we can balance acidosis by alkolosis.

* potasium chloride syrup also we can mix with water and we need to give clients, because it may cause arrhythmias if we will give directly.

* because it is very concentrated.

* We will give the sodium bicarbonate also like infusion to maintain acid base balance, by mixing alkoly with acids.

* plenty of fluids may decreases the acidosis.