What are nursing interventions for metabolic alkalosis?
What are nursing interventions for metabolic alkalosis?
Desired Outcomes
| Nursing Interventions | Rationale |
|---|---|
| Avoid or limit use of sedatives or hypnotics. | If respirations are depressed, may cause hypoxia and respiratory failure. |
| Encourage fluids IV/PO. | Replaces extracellular fluid losses, and adequate hydration facilities removal of pulmonary secretions to improve ventilation. |
What is the nursing assessment for a patient with metabolic alkalosis?
Nursing Interventions & Considerations Monitor the infusion rate to prevent damage and watch out for signs of phlebitis. Watch for signs of muscle weakness, tetany or decreased activity. Monitor vital signs frequently and record intake and output to evaluate respiratory, fluid and electrolyte status.
What is the best treatment for metabolic alkalosis?
Metabolic alkalosis is usually treated by replacing water and electrolytes (sodium and potassium) while treating the cause. Rarely, when metabolic alkalosis is very severe, dilute acid is given intravenously. In respiratory alkalosis, the first step is to ensure that the person has enough oxygen.
How is metabolic alkalosis diagnosed?
Metabolic alkalosis is diagnosed by measuring serum electrolytes and arterial blood gases. If the etiology of metabolic alkalosis is not clear from the clinical history and physical examination, including drug use and the presence of hypertension, then a urine chloride ion concentration can be obtained.
What is metabolic alkalosis caused by?
Metabolic alkalosis, a disorder that elevates the serum bicarbonate, can result from several mechanisms: intracellular shift of hydrogen ions; gastrointestinal loss of hydrogen ions; excessive renal hydrogen ion loss; administration and retention of bicarbonate ions; or volume contraction around a constant amount of …
Which of the following condition causes metabolic alkalosis?
Metabolic alkalosis is caused by too much bicarbonate in the blood. It can also occur due to certain kidney diseases. Hypochloremic alkalosis is caused by an extreme lack or loss of chloride, such as from prolonged vomiting.
What leads to metabolic alkalosis?
How do Diuretics cause metabolic alkalosis?
Loop and thiazide diuretics can cause metabolic alkalosis due to increased excretion of chloride in proportion to bicarbonate.
What is the prognosis of metabolic acidosis?
Acute Metabolic Acidosis most often occurs during hospitalizations, and acute critical illnesses. It is often associated with poor prognosis, with a mortality rate as high as 57% if the pH remains untreated at 7.20. At lower pH levels, acute metabolic acidosis can lead to impaired circulation and end organ function.
What are GI signs and symptoms of metabolic acidosis?
Heartburn
Does potassium citrate correct metabolic acidosis?
In the ketogenic diet, potassium citrate supplementation can prevent metabolic acidosis, without reducing antiepileptic efficacy. Citrate supplementation prevents metabolic acidosis in children treated with a ketogenic diet. Efficacy of the ketogenic diet is not affected by supplementation with citrate.
Will you have metabolic alkalosis with Bumex?
Metabolic side effects associated with bumetanide (the active ingredient contained in Bumex) as with other loop diuretics, occur in 7% to 20% of patients, and include hyponatremia, hypokalemia, hypochloremia, and hyperuricemia. These side effects may be more likely in patients with renal insufficiency.
