University:
DeVry University
Course:
HIT141 | Health Information Processes
Academic year:

2023
Views:

114

Pages:

2
Author:

do3ran7ut

RESPIRATORY ALKALOSIS Nursing Diagnosis: Impaired Gas Exchange related to altered oxygen supply as evidenced by dyspnea and tachypnea Intervention Monitor the patient’s vital signs, especially the respiratory rate, rhythm and depth. Monitor and graphic serial ABGs and pulse oximeter frequently. Rationale To monitor any changes in the vital signs Blood gases provide information about gas exchange. Since the patient is in respiratory alkalosis with low level of carbon dioxide. Encourage patient to breathe slowly May aid in the lowering of respiration rate by and deeply. reassuring and relaxing the distressed patient. Assist the patient in an upright (30 to To support the lungs, appropriate body 45 degrees) position as their condition posture allows for optimum lung expansion allows. and movement of respiratory muscles. Administer medications as ordered. Medications depend on the etiology of the disease process. When alkalosis is severe, it can cause Assess level of awareness or decreased mentation (moderate to severe), cognition and note neuromuscular status. Assess strength, tone, reflexes, tetany, and seizures. and sensation. Demonstrate appropriate breathing Reducing the rate of respiration can stop CO2 from "blowing off," raising Pco2 levels patterns, if appropriate, and assist with respiratory aids or rebreathing and bringing pH back to normal. mask/bag. Patients may be harmed by changes in Provide safety and seizure precautions. Place bed in low position, mentation, CNS, and neuromuscular pad side rails and do frequent hyperirritability, especially if tetany or observation of the patient. convulsions occur. Promotes adherence to the therapy regimen Discuss cause of condition (if known) and may help to prevent recurrence of the and appropriate interventions and/or self-care activities. condition. Monitor serum potassium. Replace as In an attempt to remedy alkalosis, potassium may be wasted (urine) or moved indicated. Administer CO2, or use rebreathing mask as indicated. Reduce respiratory rate and tidal volume, into the cell in exchange for hydrogen, resulting in hypokalemia. Carbonic acid deficiency may be corrected by increasing CO2 retention.