ACID-BASE IMBALANCE ACTIVITY METABOLIC IMBALANCES CASE 1

ACID-BASE IMBALANCE ACTIVITY METABOLIC IMBALANCES CASE 1 Rebecca is a 2-year-old female brought to the clinic by her mother, who states the child has been having diarrhea since yesterday, vomited once this morning, is unwilling to drink and has had no wet diapers since last night. Focused assessment reveals lethargy, sunken eyes, whimper cries w/o tears, tachypnea (RR 35), tachycardia (HR 109) and temperature of 101.7 F. 5. What type of acid-base imbalance would you expect Rebecca to have and what is causing it? 6. What type of compensation would you expect or not expect? Explain. 7. What will Rebecca’s ABGs look like? (what is high/what is low) 8. What is the treatment? CASE 2 Anthony is a 54-year-old male with a history of nausea and vomiting for the past week. He has been self-medicating himself with baking soda to control his abdominal discomfort. 9. What type of acid-base imbalance would you expect Anthony to have and what is causing it? 10. What type of compensation would you expect or not expect? Explain. 11. What will Anthony’s ABGs look like? (what is high/what is low) 12. What is the treatment SCIENCE HEALTH SCIENCE NURSING NURSING 230

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