Acid-Base Case Study
NUR-631
Mr. Davis is 56-year-old male who has a past medical history of HTN (hypertension). Every Sunday, he goes to his favorite restaurant to watch sports with his friends. While making several trips to the restroom in a 1-hour period, Mr. Davis complains of feeling tired and weak. He starts sweating profusely, his breathing becomes rapid and deep, his speech is slurred, and eventually he passes out. His friends call 911, and Mr. Davis is transported to the hospital. On admission to the hospital, Mr. Davis’s lab work shows the following values:
Mr. Davis’s ValuesNormal RangesSodium (Na+)155.0 mEq/L135-145 mEq/L The normal range for blood sodium is between 135 and 145 mEq/L (3.10 mg/ml to 3.34 mg/ml). Higher levels of sodium are normally associated with hypertension. A sodium level of 150 mEq/L (3.45 mg/ml) or more is known as hypernatremia, a condition that is commonly caused by dehydration or eating too much salt.Potassium (K+)6.2 mEq/L3.7-5.2 mEq/L Potassium is a chemical that is critical to the function of nerve and muscle cells, including those in your heart. Your blood potassium level is normally 3.6 to 5.2 millimoles per liter (mmol/L). Having a blood potassium level higher than 6.0 mmol/L can be dangerous and usually requires immediate treatment. The leading causes of hyperkalemia are chronic kidney disease, uncontrolled diabetes, dehydration, an injury causing severe bleeding, consuming excessive dietary potassium, and some medications.Chloride (Cl-)120.0 mEq/L98–107 mEq/L Normal levels of chloride for adults are in the 98–107 mEq/L range. If your test shows a chloride level higher than 107 mEq/L, you have hyperchloremia. In this case, your doctor may also test your urine for chloride and blood sugar levels to see if you have diabetes.Glucose52.0 mg/dL70-100 mg/dL fasting Hypoglycemia (low blood glucose) can lead to blurred vision, difficulty concentrating, confused thinking, slurred speech, numbness, and drowsiness. If blood glucose stays low for too long, starving the brain of glucose, it may lead to seizures, coma, and very rarely death.ABG pH pCO2 HCO3 7.15 (Acidosis) 30 16 pH 7.35-7.45 pCO2 6.0-4.5 HCO3 22-26 UA Ketones Protein + +Having some ketones in your urine is normal. But high ketone levels in urine may be a sign that your body is too acidic. This condition is called ketoacidosis. The most common type of ketoacidosis is a complication of diabetes called diabetic ketoacidosis (DKA).
This is a Collaborative Learning Community (CLC) assignment.
Working in teams and collaboration is an essential skill that is prevalent in clinical situations. In this assignment, you will be working in a group to create a PowerPoint to address the “Acid-Base Case Study.” The PowerPoint should be 10-15 slides and contain speaker notes which expand upon the material in the slides. You need to include citations identifying resources. Each learner is responsible for participation within the CLC group. The CLC group is responsible for developing a cohesive presentation that flows smoothly. The instructor will monitor the CLC Discussion Forum. One member of the group will submit the assignment to the instructor.
Research and fill in the normal values for the table in the “Acid-Base Case Study” resource. Include the table in your PowerPoint presentation.
Address each of the following in the PowerPoint presentation:
What type of acid-base disturbance is Mr. Davis suffering from? Why?
What role does excessive alcohol consumption play in the acid-base disturbance seen?
What type of fluid or electrolyte imbalances does Mr. Davis have and why?
Calculate the anion gap. Is it high or normal? Why is it high or normal? What information does the anion gap give the provider?
Are Mr. Davis’s respiratory and renal systems attempting to compensate for his acid-base disturbance? If so, how are they compensating and what evidence do you have that they are compensating?
Explain the rationale for the low glucose level and high urine ketones.
Is the protein level seen in the UA abnormal? Provide a rationale. How do the findings relate to Mr. Davis?
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.Attachments
NUR-631-Acid-BaseCaseStudy .docx
Acid-Base Case Study
NUR-631
Mr. Davis is 56-year-old male who has a past medical history of HTN (hypertension). Every Sunday, he goes to his favorite restaurant to watch sports with his friends. While making several trips to the restroom in a 1-hour period, Mr. Davis complains of feeling tired and weak. He starts sweating profusely, his breathing becomes rapid and deep, his speech is slurred, and eventually he passes out. His friends call 911, and Mr. Davis is transported to the hospital. On admission to the hospital, Mr. Davis’s lab work shows the following values:
Mr. Davis’s ValuesNormal RangesSodium (Na+)155.0 mEq/L Potassium (K+)6.2 mEq/L Chloride (Cl-)120.0 mEq/L Glucose52.0 mg/dL ABG pH pCO2 HCO3 7.15 30 16 UA Ketones Protein + +
