Writing Homework Help

Tony is a 35-year-old, Hispanic male that presented to the Emergency Room with family complaints of somnolence but arousable. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. His wife reports that he had been vomiting for three days with “the flu.” She says his level of consciousness was per baseline last evening, but this am was difficulty to wake. His temporal temperature is 101.7 F. heart rate is 125 bpm and his peripheral blood pressure is 85/58. His pulse oximetry is 92% on room air with respiration rate 30/min.

You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.

Tony’s ABG results:

• pH 7.22
• PCO2 29
• HCO3- 11.

Chemistry panel:

• Cl- 90
• Na+ 131
• HCO3- 12
• Glucose 135

Instructions

1. Determine Tony’s acid-base imbalance
2. Describe possible causes of the imbalance
3. Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
4. List the multidimensional care strategies that are appropriate for the care of Tony