Acid-Base Imbalance Scenarios in Nursing: Understanding Respiratory Acidosis

Scenario 1: Respiratory Acidosis

Respiratory acidosis occurs when there is an excess of carbon dioxide (PaCO2) in the blood, leading to a decrease in pH. In this case, the client's respiratory rate is 7 per minute and demonstrates shallow breathing, indicating hypoventilation.

Interventions for Respiratory Acidosis:

1. Improving ventilation: The nurse should assess the client's airway and ensure it is clear. If necessary, the nurse may need to provide supplemental oxygen or assist with ventilation using a bag-valve-mask device.

2. Treating the underlying cause: The nurse should investigate the cause of the hypoventilation and address it. This may involve adjusting the dosage of medications, providing pain relief, or addressing any other factors contributing to the respiratory depression.