Scenario: You are caring for a patient in severe pain with a RR of 28. Which...

Scenario: You are caring for a patient in severe pain with a RR of 28. Which acid-base imbalance do you expect to see, and why? What is the anticipated treatment?

Solutions

Expert Solution

Answer:

The normal respiratory rate in an adult range from 12 to 18 breaths per minute. A change in the respiratory rate indicates the sign of deterioration as the body makes an effort to maintain the oxygen delivery to the tissues.

Increased respiratory rate is called Tachypnea which is characterized by shortness of breath, discolored fingers and lips and gasping for breath. It is also related to metabolic imbalances and or central nervous system disorders.

The acid base balance in the body is contributed by the respiratory system by the regulation of carbonic acid which is formed by the reaction of carbon dioxide with water. When the respiratory rate of an individual is increased, excess of carbon dioxide is exhaled. The excess loss of carbon dioxide results in the pH becoming more alkaline and leads to a condition known as respiratory alkalosis. Cause of respiratory alkalosis include hyperventilation, anxiety, fever and pain.

Respiratory alkalosis can be acute or chronic. The treatments include:

Providing adequate oxygen.
Rebreathing air that has been exhaled into a paper bag.
Administration of an opioid or an anti-anxiety medication to reduce hyperventilation.
Correction of any heart rhythm abnormalities.
If it is caused due to a ventilator setting, the settings can be modified to adjust to the breathing.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

You are caring for a patient that has a high pain tolerance due to chronic pain...

You are caring for a patient that has a high pain tolerance due to chronic pain and does not look like they are in pain. What would you do if they asked for more pain medication? Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and...

You are caring for a patient that has a high pain tolerance due to chronic pain...

You are caring for a patient that has a high pain tolerance due to chronic pain and does not look like they are in pain. What would you do if they asked for more pain medication?

You are caring for a patient that has a high pain tolerance due to chronic pain...

You are caring for a patient that has a high pain tolerance due to chronic pain and does not look like they are in pain. What would you do if they asked for more pain medication?

1-A patient with severe chronic arthritis pain will be best served by which type of service?...

1-A patient with severe chronic arthritis pain will be best served by which type of service? a.Emergency room b.Hospice c.Palliative care d. Respite care 2-The daughter of the elderly women who is primary caregiver for her mom wishes to go on a week long vacation.which of the following services would provide the daughter with opportunity to get away? a. Respite care b. Palliative care c. Hospice d.Assisted living

The nurse is caring for a patient with exacerbation of sickle cell disease and in pain...

The nurse is caring for a patient with exacerbation of sickle cell disease and in pain crisis due to an infection. When reviewing the lab values, the nurse would anticipate which of the following lab values? Select all that apply. 1. Reticulocyte 12% 2.Hgb 9.2 mg/dL. 3.WBC 14.3x 103\microL 4. Ca 4.9 mg/dL

A nurse is caring for a patient taking over the counter medications for pain and insomnia

A patient presented with severe abdominal and pelvic pain. An checkup was performed in the office,...

A patient presented with severe abdominal and pelvic pain. An checkup was performed in the office, but the diagnosis was inconclusive. The patient was taken to the operating room. The surgeon opened up the patient and found multiple dense intestinal adhesions throughout the abdomen. The surgeon lysed the adhesions. How should these services be coded?

A nurse is caring for a patient taking three over-the-counter medications for pain and insomnia. The...

A nurse is caring for a patient taking three over-the-counter medications for pain and insomnia. The primary care provider has prescribed a generic drug for the patient for asthma. The patient requests information from the nurse about over-the-counter medications and the difference between generic and brand-name drugs. Although over-the-counter drugs have been found to be safe when taken as directed, what should the nurse consider telling the patient about problems related to over-the-counter drugs?

In sickle cell anemia the patient also complains of severe pain and has a possibility of...

In sickle cell anemia the patient also complains of severe pain and has a possibility of organ failure. Why do these occur? please use APA format and add the references.

scenario 1 You are caring for a 78-year-old patient after the creation of an ileal conduit....

scenario 1 You are caring for a 78-year-old patient after the creation of an ileal conduit. What is the best description of the ileal conduit? Describe the complications that may follow the placement of an ileal conduit. What assessments do you commonly perform in the immediate post-operative period? Enumerate the Risk Factors for Cervical Cancers. sceniro 2 A 55-year-old patient has been diagnosed with cervical cancer. She reports that she has a strong family history of cancer; two sisters have...

Subjects