NUR 340L Lecture Notes - Lecture 5: Respiratory Acidosis, Water–Electrolyte Imbalance, Somnolence
Document Summary
Dka kuss(cid:373)aul"s respiratio(cid:374) deep and rapid. Smoking history, environmental exposure, sob, chest pain, pain w/breathing, cough, productive-sputum character orthopnea, sleep w/2 pillows at night. Oxygen saturation/pulse oximetry, pt position, ability to speak, level of consciousness/orientation/behavior, skin; diaphoresis, cyanosis, capillary refill. Chest wall configuration, respiratory pattern/rate, nasal flaring/pusres lip breathing, accessory muscle use. Dullness pneumonia, hem thorax, pulmonary edema, tumor. Note timing of lung sound in cycle, location. Pleural irritation; rubbing of inflamed, roughened pleural surface. Grunted positive end expiratory pressure to keep distal airways open. Ph 7. 33: co2 48; hco 27 - partially compensated respiratory acidosis partially b/c. Hco3 is beginning to change in the right direction. Ph 7. 43: co2 33; hco 21 compensated respiratory acidosis ph is more alkalosis, co2 is down (ph and co2 went in opposite directions which indicates respiratory) Ph 7. 48: co2 50; hco3 28 compensated metabolic alkalosis (all values abnormal and. Co2 is beginning to change in the right direction.
