What pharmacologic intervention is commonly used to correct this acid-base disturbance?

Focused Assessment

Details:

Document a focused history, physical exam, nursing diagnoses, and nursing process of the case study below and compare the differences with components a complete assessment.

Case Study

A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:

Test                                                     Result                                               Normal levels

pH                                                       7.5                                           7.35 – 7.45

PaCO2                                                 40 mm Hg                               35-45 mm Hg

PaO2                                                    95 mm Hg                               80-100 mm Hg

SaO2                                                    97%                                         95-100%

HCO3–                                                 32 meq/liter                             22-26 meq/liter

What pharmacologic intervention is commonly used to correct this acid-base disturbance?

Describe the educational needs for this patient and what your approach will be.

 

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