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NUR 214 F 1: QUIZ REVIEW; Acid/Base; ABGs

Subject:
Day 4
Goal Summary:
Clients with oxygenation needs: (1) Implement caring interventions in response to their diverse needs and inherent value; (2) Assess adaptation to internal and external changes; (3) Implement individualized prevention strategies; (4) Apply the nursing process while providing comprehensive, collaborative care; (5) Demonstrate effective communication including information technologies; (6) Demonstrate professional behaviors consistent with the nursing profession; (7) Use appropriate teaching strategies in providing health education; (8) Participate in self-directed learning through researching and planning appropriate nursing care.
Essential Questions:
5. Nursing Management of Care
C. Psychosocial considerations
ii. Explain all procedures, restrictions, and follow up requirements to patients having tests
v. If intubation is a concern, discuss/support patient and family
D. Physiologic Integrity
i. Immediately report alterations in respiratory status; assess breathing effectiveness in those with SOB or altered mental status
ii. Application of oxygen to any hypoxic patient
iii. Pre & post procedural and operative management
v. Use laboratory data and clinical manifestations to evaluate the adequacy of oxygenation and ventilatory interventions- prioritize
Understandings:
This chapter (14) focuses on the concept of acid-base balance.
This balance is facilitated through the body€™'s control of hydrogen ion (H+) production and elimination.
Body fluid pH is a measure of the body fluid€™s free hydrogen ion level.
This value has the narrowest range of normal and the tightest control mechanisms of all electrolytes. Keeping the pH within the normal range involves balancing acids and bases in body fluids.
Normal pH ranges from 7.35 to 7.45 for arterial blood and from 7.31 to 7.41 for venous blood.
It is important for students to understand how to keep the pH of the blood within the normal range, because changes from normal interfere with many physiologic functions.
These changes include changing the shape and reducing the function of hormones and enzymes, changing the distribution of other electrolytes, changing excitable membranes, and decreasing the effectiveness of many drugs.
Fortunately, the body has many mechanisms to ensure minimal changes in free hydrogen ion level.
Teach students that these mechanisms include concepts such as buffering and compensation, and conduct a discussion about the processes of respiratory and metabolic acidosis and alkalosis.
Reflection:
Click to enter. Your reflection should be entered as you progress through and complete your unit. Evaluating what worked well and what could be improved will further your professional development, and help any teachers looking to build off your unit.

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