Your patient is experiencing an asthmatic attack. Their respiratory rate is 30, 02 sats are 90% on room air and they are anxious. Which acid-base imbalance are you expecting to see when the ABG's result?

A. Elevate the head of the bed. – While elevating the head of the bed can aid breathing, it is not the priority action in this situation.
B. Call the client's provider. – Notifying the provider is important, but the first action is to stop the offending agent causing the reaction.
C. Auscultate the client's breath sounds. – Assessing breath sounds is appropriate but should be done after stopping the infusion, as the priority is to remove the source of the reaction.
D. Stop the infusion. – The client is showing signs of a possible anaphylactic reaction (itching, dizziness, shortness of breath). The priority action is to stop the infusion immediately to prevent further exposure to the allergen and worsening of symptoms.

A. Colloid solution – Colloid solutions (e.g., albumin) are used to expand intravascular volume in cases like hypovolemic shock, not typically for general dehydration.
B. Hypotonic solution – Hypotonic solutions (e.g., 0.45% NaCl) may be used after initial rehydration to shift fluid into cells, but they are not first-line for treating extracellular dehydration.
C. Isotonic solution – Isotonic fluids (e.g., 0.9% normal saline or lactated Ringer’s) are the first choice for treating dehydration, especially when there is fluid volume deficit in the extracellular space. They help restore circulating volume without causing fluid shifts between compartments.
D. Hypertonic solution – Hypertonic solutions draw fluid out of cells and are typically used in cases of hyponatremia or cerebral edema, not routine dehydration.