ARBs: Acute and Chronic Metabolic ACIDOSIS (Base Bicarbonate Deficit)

Question 1

Metabolic Acidosis (Base Bicarbonate Deficit)

Metabolic Acidosis s/s

Answer 1

1. H/A
2. Lethargy
3. Confusion
4. INCREASE RR
5. N/V
6. Peripheral vasodilation
7. DECREASE CO
8. DECREASE BP
9. ARRHYTHMIA

7-9 are later s/s of acidosis

Question 2

Metabolic Acidosis (Base Bicarbonate Deficit)

Chronic Acidosis is usually seen with__?__(which condition)

Answer 2

Chronic Renal Failure

Question 3

Metabolic Acidosis (Base Bicarbonate Deficit)

Nursing Management

Answer 3

TX is directed at underlying cause

Adm serum bicarbonate (depending on circumstances)

Question 4

Metabolic Acidosis (Base Bicarbonate Deficit)

Nursing Management

What electrolyte imbalance often occurs with acidosis?

Answer 4

Hyperkalemia

but once bicarbonate is administered monitor for hypokalemia

Question 5

Metabolic Acidosis (Base Bicarbonate Deficit)

In chronic metabolic acidosis what electrolyte needs to be monitored and treated for before chronic metabolic acidosis is treated? and why?

Answer 5

Monitor for low serum Ca levels

To avoid Tetany resulting from increase pH and decrease of Ca

(Pelico 85)

Question 6

Metabolic Acidosis (Base Bicarbonate Deficit)

Treatment modalities may also include hemodialysis or peritoneal dialysis T or F?

Answer 6

TRUE

Pelico 85