Nursing Management in Acid-Base Imbalance

• What is the primary method to detect acid-base imbalance?

  Assess ABG
• Why is it important to assess respiratory rate in acid-base imbalance?

  It impacts potassium levels
• Which vital signs should be closely monitored in acid-base imbalance?

  Respiratory rate and heart rate/rhythm
• What laboratory values should be assessed for fluid status?

  Electrolytes, BUN, creatinine, hematocrit
• When might electrolyte and fluid replacement be necessary?

  When imbalances are detected
• What steps should be taken to manage acid-base imbalance?

  • Assess ABG for imbalance detection
  • Monitor vital signs: respiratory rate, heart rate/rhythm
  • Check electrolytes, BUN, creatinine, hematocrit for fluid status
  • Provide electrolyte and fluid replacement as needed
  • Identify and treat underlying causes (e.g., N&V, DKA, opiates)
• What are some underlying causes of acid-base imbalance that should be treated?

  Nausea and vomiting, DKA, opiates