METABOLIC ACIDOSIS

Question 1

Cause

Answer 1

Acute Renal Failure

Question 2

Clinical Manifestations (KuSH)

Answer 2

a. Kussmaul’s respiration
b. Signs of hyperkalemia (high and fast)
c. Headache

Question 3

ECG Changes

Answer 3

a. Tall T waves
b. Prolonged PR interval
c. Widened QRS

Question 4

DOC

Answer 4

Sodium Bicarbonate

Question 5

Use of Sodium Bicarbonate

Answer 5

To reduce effect of acidosis on cardiac function

Question 6

Management (SIDiK)

Answer 6

a. Sodium Bicarbonate IV. Flush with NSS.
b. Institute saftet precautions as necessary. Keep bed in lowest position, side rails raised.
c. Dialysis for Renal Failure
d. Keep the clocks, calendars, and familiar objects at bedside. Reorient as needed. Allow sig others to remain with them as much as possible.