A nurse reviews the following ABG result:
- pH 7.37
- PaO2 84
- PaCO2 54
- Bicarbonate: 31
- Saturation: 95%
What is the interpretation of this ABG?
Partially compensated Metabolic Alkalosis
Fully compensated Metabolic Acidosis
Fully compensated Respiratory Acidosis
Partially compensated Respiratory Alkalosis
The Correct Answer is C
A. Partially compensated Metabolic Alkalosis: This is incorrect because the pH is within normal limits (7.35-7.45), and the elevated PaCO2 and bicarbonate suggest a respiratory issue rather than a metabolic one.
B. Fully compensated Metabolic Acidosis: This is incorrect because the primary disturbance is respiratory, not metabolic. A compensated metabolic acidosis would typically show a low PaCO2 as compensation.
C. Fully compensated Respiratory Acidosis: Correct. The pH is within the normal range, indicating full compensation. The elevated PaCO2 and bicarbonate reflect a chronic respiratory acidosis that has been compensated by the kidneys.
D. Partially compensated Respiratory Alkalosis: This is incorrect because in respiratory alkalosis, the PaCO2 would be low, not high.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pallor and/or cyanosis of extremities: While pallor and cyanosis can indicate severe heart failure, they are not early signs. These symptoms usually appear later in the disease process.
B. Orthopnea, peripheral edema, crackles: These are early signs of heart failure indicating fluid overload due to decreased cardiac output. Orthopnea is difficulty breathing when lying flat, peripheral edema is swelling in the limbs, and crackles indicate fluid in the lungs.
C. Dizziness, syncope, palpitations:These symptoms can occur in heart failure but are not specific to fluid overload; they are more indicative of decreased cardiac output and possible arrhythmias.
D. PAWP of 12 and CVP of 6: These values are within normal limits. PAWP (Pulmonary Artery Wedge Pressure) and CVP (Central Venous Pressure) would be elevated in fluid overload.
Correct Answer is ["15.94"]
Explanation
Convert the ordered dose to mcg/min:
- 10 mcg/kg/min × 85 kg = 850 mcg/min
Convert the available dose to mcg/mL:
- 800 mg = 800,000 mcg in 250 mL
Concentration = 800,000 mcg ÷ 250 mL
= 3200 mcg/mL
Calculate the infusion rate:
Infusion rate (mL/hour) = [Desireddose(mcg/min) ÷Concentration(mcg/mL)] ×60 min/hour
Infusion rate = (850 mcg/min ÷ 3200 mcg/mL) × 60 min/hour
= 15.94 mL/hour
The IV pump should be set to infuse at approximately 15.94 mL/hour to deliver the ordered dose of dopamine at 10 mcg/kg/min for a patient weighing 85 kg. This ensures the appropriate therapeutic effect.
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