Question

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9. The patient is a 21-year-old college student brought to the emergency department by his friends when he was found unconscious during a fraternity party. He was seen drinking heavily at the party and had not eaten for 2 days before the event. He takes no prescription drugs, and his current vital signs are: T = 97.8°F; P = 48, slightly irregular and thready: R=28, deep and regular; BP = 88/50. His current arterial blood gas results are: pH = 7.31; HCO3 = 25 mEq/L; Paco2 = 28 mm Hg; Pao, -99 mm Hg. Acidic normal basic -1. What specific type of acid-base problem does this patient have? Explain your choice. 2. What is the most probable origin of the acid-base imbalance? 3. Should oxygen be applied? Why or why not? 4. What nursing interventions for safety are most appropriate for this patient?

Answer 1

0 The patient have appeared to be suffering" from metabolic acidosis.lt is a disorder which body produces excess acids. His arterial oxygen level is normal but his bicarbonate level is low. So this explains that his problem is not respiratory - Acid-base imbalance in his case acidosis is due to alcohol consumption. And he did not eat any food for 2 days which also increase acidosis due to starvation and abnoomal fats breakdown foo metabolism ® No, because as explained above is oxygen level - is normal and he is not hyponic as he has - high PaO2 level - Suction equipment should be available as he his consumed alcohol at high level and he may vomit so he should be positioned to his side. And support should be given as he will have no energy and his muscle would be coeak in state.