UKCustomPapers | Acid-base imbalances.

Acid-base imbalances.

Competency
Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

Scenario
Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.

Tony’s ABG results:

pH 7.28

PaCO2 – 55 mm Hg

PaO2 – 70 mm Hg

HCO3 – 30 mEq/L

Instructions

Determine Tony’s acid-base imbalance
Describe possible causes of the imbalance
Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
List the multidimensional care strategies that are appropriate for the care of Tony

Sample Answer

Chargemaster and Claims Management

Claims management and chargemaster maintenance are two essential processes for healthcare organizations. Claims management is the process of submitting and tracking claims to payers. Chargemaster maintenance is the process of ensuring that the chargemaster is accurate and up-to-date.

The chargemaster is a database of all the services and items that a healthcare organization provides, along with the associated prices. It is used to generate bills for patients and to submit claims to payers.

Claims management and chargemaster maintenance are important because they help healthcare organizations to:

Improve revenue collection
Reduce denials and rejections
Ensure compliance with payer regulations
Improve patient satisfaction

Best Practices for Chargemaster Maintenance

Full Answer Section

Multidimensional nursing care strategies for the care of Tony:

Respiratory care: Administer oxygen as prescribed and monitor Tony’s respiratory status closely.
Fluid and electrolyte management: Administer intravenous fluids as prescribed to correct Tony’s dehydration and electrolyte imbalances.
Medications: Administer medications as prescribed to treat Tony’s underlying condition and relieve his symptoms.
Monitoring: Monitor Tony’s vital signs, arterial blood gases, and urine output closely.
Patient education: Educate Tony about his condition and self-care management strategies.

In addition to the above, the following multidimensional nursing care strategies may be appropriate for Tony:

Nutritional support: Ensure that Tony is receiving adequate nutrition. This may involve providing him with supplemental nutrition or tube feeding.
Physical therapy: Provide physical therapy to help Tony improve his strength and endurance.
Psychosocial support: Provide Tony with psychosocial support to help him cope with his illness. This may involve counseling or support groups.

It is important to work collaboratively with the other members of Tony’s healthcare team to develop a comprehensive care plan that addresses all of his needs.

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