Based on an interpretation of the ABG results, what acid-base imbalance is occurring?

The client is a 23-year-old African American male with type-1 diabetes who has not been taking his insulin as prescribed or adhering to a diabetic diet. The client presented to the emergency department with complaints of lethargy, abdominal pain, nausea, and malaise.

Vital signs:

· Temperature: 98.6 F

· Pulse: 110 beats/minute

· Respirations: 32 breaths/minute

· Blood pressure: 90/60 mm Hg

· Oxygen saturation: 96% on room air

Laboratory results:

· Serum glucose: 400 mg/dL (on arrival at the emergency department)

· Serum sodium (Na+): 125 mEq/L

· Serum potassium (K+): 6.5 mEq/L

· Serum chloride (Cl): 120 mEq/L

· Blood urea nitrogen (BUN): 39 mg/dl

· Serum creatinine (Cr): 1.7 mg/dl

· Urinalysis – positive for ketones

Arterial blood gas (ABG) results:

· pH: 7.30

· PaCO2: 33 mm Hg

· PaO2: 95 mm Hg

· HCO3: 19 mEq/L

The client is admitted to the intensive care unit, and you are the nurse assigned to the client. Reply to the following questions:

1. Based on an interpretation of the ABG results, what acid-base imbalance is occurring?

2. What nursing assessment findings are expected?

3. Describe strategies for safe, effective multidimensional nursing care of the client. Include rationale to support the strategies identified.

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.