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Site Map Basic Questions Normal Values Etiology and Clinical Manifestations Assessment Step 1 Step 2 Step 3 Review Case Studies Case Study 1 Case Study 2 Case Study 3 << Case Study 4 Case Study 5 Case Study 6 Case Study 7 Case Study 8 Case Study 9 References Quick Reference Metabolic Acidosis Clinical Manifestations hyperkalemia: shift of acid to ICF and K+ to the ECF anorexia, nausea, and vomiting warm, flushed skin cardiac dysrhythmias & CNS dysfunction headache, diarrhea, tremors Metabolic Alkalosis Clinical Manifestations cardia dysrhythmias; seizures; confusion; muscle twitching, agitation >pH;>HC03; normal PaCo2 or elevated if compensation occurs Respiratory Acidosis Clinical Manifestations > PaCo2; HCO3 is normal or > with renal compensation vasodilatation; cardiac dysrhythmias, tachycardia, somnolence, decreased ventilation Respiratory Alkalosis Clinical Manifestations > pH; < PaC02; HCO3 normal or low due to compensation nausea, vomiting, tingling of fingers		ABG Tutorial  med-calc tutorial  current courses  links  FAQs  Case Studies :: Case Study 3 A client, 5 days post-abdominal surgery, has a nasogastric tube. The nurse notes that the nasogastric tube (NGT) is draining a large amount (900 cc in 2hours) of coffee ground secretions. The client is not oriented to person, place, or time. The nurse contacts the attending physician and STAT ABGs are ordered. The results from the ABGs come back from the laboratory and show: pH = 7.52 Pa C02 = 35 mmHg HC03 = 29 mEq/L Once you have interpreted the ABG results, click on one of the following links Compensated Respiratory Alkalosis Uncompensated Metabolic Acidosis Compensated Metabolic Acidosis Uncompensated Metabolic Alkalosis Next Page
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