Caring for Clients to Maintain Homeostasis, and to promote Fluid-electrolyte and Acid-base Balance. >Caring for Clients with Vascular Access Devices.
on line discussion with two questions and self reflection
1.Online Learning Activity- ‘Match the Answer’ Game:
Analyze the following client ABG results and share your rationale in the discussion forum:
pH- 7.5 PaCO2 (mm Hg)- 30 HCO3 (mEq/L)- 23 PaO2 (mm Hg)- 98
pH- 7.3 PaCO2 (mm Hg)- 50 HCO3 (mEq/L)- 25 PaO2 (mm Hg)- 68
pH- 7.36 PaCO2 (mm Hg)- 64 HCO3 (mEq/L)- 35 PaO2 (mm Hg)- 72
pH- 7.05 PaCO2 (mm Hg)- 77 HCO3 (mEq/L)- 17 PaO2 (mm Hg)- 56
Uncompensated respiratory alkalosis with normal oxygenation _____
Compensated respiratory acidosis with mild hypoxemia (an example of a patient with stable COPD) _____
Uncompensated respiratory acidosis with mild hypoxemia _____
Combined respiratory and metabolic acidosis with mod. hypoxemia _____
Reference: Pruitt, B. (2010). Interpreting ABGs: An inside look at your patient’s status. Nursing 2010, 40(7), 31-35.
2.Online Learning Activity- Case Study:
Select any two (2) questions from i) to xi) related to the case study and post/ respond in the online learning activities- discussions area. Incorporate and cite information from the course readings to support your discussion
Case study: Ms. M is 24 years of age and is admitted after experiencing severe nausea, vomiting, diarrhea and sweating for 4 days. While taking the initial history Mrs. M states, “I am very anxious right now, as you can tell by me breathing fast. I haven’t been able to keep any food down for a few days”. Some of the physician’s orders included blood work, arterial blood gases, urine and stool sampling, as well as initiating an IV of 0.9% sodium chloride.
What are the common physiological (sympathetic nervous system) responses to stress and what is the purpose of these effects?
What clinical manifestations would the nurse anticipate Ms. M. may demonstrate in this situation? Explain why.
What priority nursing assessments should be initiated with Ms. M? Explain why.
Why is stool sampling ordered and what actions should the nurse initiate upon Mrs. M’s admission to the unit?
What specific lab values may be elevated or reduced in this situation? Explain why.
What information does a blood gas analysis provide and what results would the nurse anticipate in relation to this case study?
What acid-base disturbance can result from hyperventilation and what are the resulting nursing measures?
What are some applicable stress reduction strategies the nurse can discuss with Ms. M at this time?
What vascular access device (IV) is the most appropriate in this situation? Explain why?
What are the nursing measures to prevent septicemia and other infections related to IV therapy?
What are some potential local complications associated with IV therapy and what nursing measures would be required?
Reflect on your current clinical knowledge and nursing skill competence level by reviewing the following questions.
What is my knowledge in relation to the role of the registered nurse when caring for and with clients experiencing alterations in homeostasis, as well as fluid-electrolyte and acid-base imbalances?
What is my knowledge in relation to why various Intravenous (IV) solutions are ordered?
What is my knowledge, comfort and skill competency level when caring for clients with different vascular access devices?
Appel, S., & Downs, C. (2008). Understanding acid-base balance. Nursing 2008, 38, 9-11. doi: 10.1097/01.NURSE.0000336658.39936.0c
Crawford, A., & Harris, H. (2011). IV fluids: What nurses need to know. Nursing 2011, 45(5), 30-38. doi: 10.1097/01.NURSE.0000396282.43928.40
Guthrie, D., Dreher, D., & Munson, M. (2007a). What you need to know about PICCS, part 1. Nursing 2007, 37(8), 18. doi: 10.1097.01.NURSE.0000282690.82489.39
Guthrie, D., Dreher, D., & Munson, M. (2007b). What you need to know about PICCs, part 2. Nursing 2007, 37(9), 14-15. doi: 10.1097/01.NURSE.0000287700.18137.f2
Pruitt, B. (2010). Interpreting ABGs: An inside look at your patient’s status. Nursing 2010, 40(7), 31-35. doi: 10.1097.01.NURSE.0000383447.25412.d6
Registered Nurses Association of Ontario. (2008a). Nursing best practice guideline: Assessment and device selection for vascular access. Retrieved from http://rnao.ca/sites/rnao-ca/files/Assessment_and_Device_Selection_for_Vascular_Access.pdf
Registered Nurses Association of Ontario. (2008b). Nursing best practice guideline: Care and maintenance to reduce vascular access complications. Retrieved from http://rnao.ca/sites/rnao-ca/files/Care_and_Maintenance_to_Reduce_Vascular_Access_Complications.pdf
Rosenthal, K. (2007). What you need to know about ports. Nursing 2007, 37(9), 10-11. doi: 10.1097/01.NURSE.0000298013.81214.16
(*The Nursing journal has an app that can be downloaded to smart phones or iPads).
In addition to the citations above, the following resources are referenced in this module:
Day, R. A., Paul, P., Williams, B., Smeltzer, S. C., & Bare, B. G. (2010). Brunner and Suddarth’s textbook of Canadian medical surgical nursing (2nd ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET AN AMAZING DISCOUNT ?
Our Service Charter
Excellent Quality / 100% Plagiarism-FreeWe employ a number of measures to ensure top quality essays. The papers go through a system of quality control prior to delivery. We run plagiarism checks on each paper to ensure that they will be 100% plagiarism-free. So, only clean copies hit customers’ emails. We also never resell the papers completed by our writers. So, once it is checked using a plagiarism checker, the paper will be unique. Speaking of the academic writing standards, we will stick to the assignment brief given by the customer and assign the perfect writer. By saying “the perfect writer” we mean the one having an academic degree in the customer’s study field and positive feedback from other customers.
Free RevisionsWe keep the quality bar of all papers high. But in case you need some extra brilliance to the paper, here’s what to do. First of all, you can choose a top writer. It means that we will assign an expert with a degree in your subject. And secondly, you can rely on our editing services. Our editors will revise your papers, checking whether or not they comply with high standards of academic writing. In addition, editing entails adjusting content if it’s off the topic, adding more sources, refining the language style, and making sure the referencing style is followed.
Confidentiality / 100% No DisclosureWe make sure that clients’ personal data remains confidential and is not exploited for any purposes beyond those related to our services. We only ask you to provide us with the information that is required to produce the paper according to your writing needs. Please note that the payment info is protected as well. Feel free to refer to the support team for more information about our payment methods. The fact that you used our service is kept secret due to the advanced security standards. So, you can be sure that no one will find out that you got a paper from our writing service.
Money Back GuaranteeIf the writer doesn’t address all the questions on your assignment brief or the delivered paper appears to be off the topic, you can ask for a refund. Or, if it is applicable, you can opt in for free revision within 14-30 days, depending on your paper’s length. The revision or refund request should be sent within 14 days after delivery. The customer gets 100% money-back in case they haven't downloaded the paper. All approved refunds will be returned to the customer’s credit card or Bonus Balance in a form of store credit. Take a note that we will send an extra compensation if the customers goes with a store credit.
24/7 Customer SupportWe have a support team working 24/7 ready to give your issue concerning the order their immediate attention. If you have any questions about the ordering process, communication with the writer, payment options, feel free to join live chat. Be sure to get a fast response. They can also give you the exact price quote, taking into account the timing, desired academic level of the paper, and the number of pages.