Analgesia
| Description: | Analegsia-Acid Base |
| Category: | Nursing |
| Created by: | rdecker1 on 2004-11-07 |
| Question | Answer |
| Not releasing enough CO2, Too much carbonic acid in body, Hypoventilation | Respiratory Acidosis |
| Releasing too much CO2, Hyperventilation | Respiratory Alkalosis |
| Causes are severe diarrhea, starvation, shock, diabetic ketoacidosis, renal failure | Metabolic Acidosis |
| Causes are severe vomiting, diuretic therapy, potassium defecit, excess gastric suctioning | Metabolic Alkalosis |
| Normal CO2 level | 35-45 |
| Normal oxygen O2 level | 80-100 |
| Normal pH of blood | 7.35-7.45 |
| Shortness of breath and tingling in fingers. Breathing is shallow and rapid | Hyperventilation |
| Interventions for Respiratory Alkalosis | Calm anxious person, breath slowly, monotr ABG's and electrolyte levels |
| Interventions for Respiratory Acidosis | Administer O2, provide hydration, HOB up, suction if needed |
| Interventions for Metabolic Alkalosis | Initiate parenteral fluids as ordered, assess hepatic function, monitor ABG's, urine, pH, and BUN |
| Interventions for Metabolic Acidosis | Initiate IV fluid replacement as ordered, assess for s/s of hypocalcemia, hypokalemia, alkalosis, Monitor ABG's & urine pH |
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NON-NARCOTIC ANALGESICS Para-aminophenal derivatives -Acetaminophen: APAP(TYLENOL) Solicylates: ASA Nonsteroidal anit-inflammatory drugs: NSAIDS(Advil/Motrin) COMPARISON |
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