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METABOLIC ACIDOSIS (EVALUATION (giving IV therapy puts patient at risk for…

- - - - pulmonary acidosis
  - - - respiratory acidosis
      - metabolic acidosis
  - - - need IV therapy
- - - - prevention of dehydration in ostomy pt.
      - appropriate coping mechanisms
      - prevention of hyperglycemia in diabetic pts.
- - - - ONLY IF COMPENSATING!!
- - - - seizures
        
        precautions need to be taken
        
        padding on siderails
        
        suction and O2 set up
        
        unless it says "stopped breathing" its metabolic
      - DKA
        
        breakdown of fat for energy
        
        fatty acids and glucose levels increase
        
        increase of formation of ketone bodies
        
        leads to a decrease in pH ACIDOSIS
      - starvation
      - excess ingestion of aspirin
      - over ingestion of alcohol
        
        liver metabolizes = formaldehyde is produced
      - fever
      - heavy exercise
        
        tired muscles release lactic acid
      - hypoxia, ischemia
    - - KIDNEY FAILURE
        
        not able to excrete acids
  - - - impaired liver function = cant produce HCO3 and cant metabolize acids
      - dehydration
      - pancreas issues - at risk for metabolic acidosis
      - kidney failure
    - - kidney failure (high output kidney failure) = work really hard to produce more urine right before giving out on urine production overall
      - diarrhea
        
        ASS-idosis
        
        the more liquid like the stool, the higher the risk of acidosis