Concepts of Acid-Base Balance
November 5, 2022
Rau Kuohui, a 50-year-old female, was shot in the right side of her chest. She is currently in the progressive care unit. Her arterial blood gases are as follows:
PaO2 88 mm Hg PaCO2 50 mm Hg
Bicarbonate 26 mEq/L
Lactate 5 mg/dL
Question 1 Does Ms. Kuohui have an acid-base imbalance? If so, what type of imbalance?
Question 2 What likely caused Ms. Kuohui to have this condition?
Question 3 Ms. Kuohui’s condition continues to deteriorate. What actions should be taken to restore Ms. Kuohui’s acid-base balance?
Question 4 With which member of the interprofessional health care team should the nurse collaborate to address Ms. Kuohui’s gas exchange needs?