Metabolic Acidosis

Question 1

Signs and symptoms:

Answer 1

1. Headache
2. Hyperkalemia
3. Muscle twitching (tingling of fingers and toes)
4. Warm flushed skin
5. Nausea, vomiting, diarrhea
6. Changes in LOC
7. Kussmaul respirations (compensatory actions)

Question 2

Risk factors and causes for metabolic acidosis

Answer 2

1. DKA
2. Renal Failure
3. Diarrhea, vomiting
4. Shock
5. Severe sepsis
6. Liver failure
7. Young women who abuse laxatives or extreme diet restriction
8. Salicylate intoxication

Question 3

Interventions

Answer 3

1. Monitor I and O, VS, RR, LOC
2. Admin. IV fluids carefully
3. Position to open up chest
4. Oral care for dry mouth and vomiting
5. Administer sodium bicarbonate

Question 4

Lifespan considerations for children

Answer 4

1. Monitor LOC and neuromuscular activity
2. Monitor nausea and vomiting
3. Assess RR and vomiting
4. Position to ease respirations and prevent aspirations