CASE STUDY: ACID – BASE IMBALANCE The patient is a 35-year-old… CASE STUDY: ACID – BASE IMBALANCEThe patient is a 35-year-old female with AIDS brought to the emergency room with a fever of 39oC and a three month history of copious diarrhea.On physical exam the patient is a well-developed, thin female in moderate distress. Vital signs-(supine) blood pressure 100/60, pulse 100 and (standing) blood pressure 80/40, pulse 125, respirations 18 and she was afebrile. HEENT exam was normal. Cardiac exam demonstrated an S1 and S2 without S3, S4 or murmur. Lungs were clear to auscultation and percussion. The abdomen was supple and minimally tender to palpation. Bowel sounds were hyperactive. Stool was guaiac negative. Extremities were without cyanosis, clubbing or edema. Neurological exam was intact. Laboratory values                    ChemistryNormal ValuesArterial Blood GasSodium136136-146 mmol/LpH 7.35PCO2 27 mmHgPO2 90 mmHgbicarbonate 14 mmol/LPotassium3.43.5-5.3 mmol/LChloride11298-108 mmol/LTotal CO21423-27 mmol/LBUN307-22 mg/dlCreatinine1.50.7-1.5 mg/dlGlucose10570-110 mg/dlAnswer the following questions based on above case study 1. What is the critical course of events that is going to alter her acid-base status? (HINT: what is her hx prior to coming into the hospital?);  2. Having a hx of diarrhea for 3 months will cause what problems? 3.  What Acid base abnormalities would you expect based on this information?4.What physical findings would you expect to see from such an acid base disturbance?  5. Review her blood gases. What is the primary acid-base abnormality? How did you decide that? 6. Is there a compensatory mechanism for metabolic acidosis? How is that brought about?7.  Formulate a nursing diagnosis related to this case study and include one short and one long term goal.8.  Please state 3 interventions for each patient goal. 9. Formulate SBAR related to this case scenario.  Health Science Science Nursing MTPB1A0Z NUR2571 Share QuestionEmailCopy link Comments (0)