About
An acid base disturbance characterized by high arterial pH and low arterial CO2.
Assess
Hyperventilation; increased rate and depth of respirations; muscle cramps and twitching; painful numbness and tingling, seizures, anxiety, irritability, hypocalcemia, hypokalemia
Complications
Seizures, electrolyte imbalances, respiratory arrest, death
Diagnosis
- Risk for injury related to increased risk of seizure activity
- Acute confusion related to acid base disturbance and electrolyte imbalances
- Acute pain related to muscle cramping and/ or tetany
- Risk for decreased cardiac output related to dysrhythmias
Goals
- The client will remain free from injury.
- The client will have a return of ABG's to normal or compensated levels.
Interventions
- Monitor vital signs, pulse oximetry, electrolytes, ABG's frequently
- Assess neurological status frequently.
- Institute seizure precautions.
- Administer agents for anxiety, as ordered.
- Administer IV fluids, electrolytes, and other agents as ordered.
- Monitor for signs/ symptoms of complications.
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