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Respiratory Acidosis Nursing Interventions

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A nursing care plan is a part of the nursing process which outlines the plan of action that will be implemented during a patients' medical care. By using the nursing care plan the nurse will be assessing, planning, implementing, and evaluating patient care. Nurses, physical therapy, nutritionists and other licensed members of the the healthcare team often complete a care plan after a detailed assessment has been performed on the patients' current medical condition and prior medical history. Source: http://www.registerednursern.com/nurs... This is a video on nursing care plans. You can get free nursing care plans on our website RegisteredNurseRN.com In this video we will be talking about what nursing care plans are, the importance of nursing care plans, how nursing care plan differ from nursing care plans in nursing school and on the job, how to develop a nursing care plan, and how to utilize our FREE premade nursing care example. Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans,

Ncp Nursing Care Plan For Acute Respiratory Failure

NCP Nursing Care Plan for Acute Respiratory Failure NCP Nursing Care Plan for Acute Respiratory Failure. When the lungs can't adequately maintain arterial oxygenation or eliminate carbon dioxide (CO2), acute respiratory failure occurs. If not checked and treated, the condition leads to tissue hypoxia. In patients with essentially normal lung tissue, acute respiratory failure usually produces a partial pressure of arterial CO2 (PaCO2) greater than 50 mm Hg and a partial pressure of arterial oxygen (PaO2) less than 50 mm Hg. These limits, however, don't apply to patients with chronic obstructive pulmonary disease COPD . Acute respiratory failure may develop from COPD, Other causes of acute respiratory failure include: Central nervous system depression due to head trauma or injudicious use of sedatives, opioids, tranquilizers, or oxygen Cardiovascular disorders (myocardial infarction, heart failure, or pulmonary emboli) Endocrine or metabolic disorders, such as myxedema or metabolic acidosis Thoracic abnormalities, such as chest trauma, pneumothorax, or thoracic or abdominal surgery Noncompliance with prescribed bronchodilator or corticosteroid therapy. Complications for Acute Respir Continue reading >>

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  1. abusemmq

    I am 52 years old. I got UTI once every two years. last week I strted to feel unconfortable when I pass water such as feeling spasm in my lower back and flanks but not much of burning feeling. The flow was ok untill one day later when it felt as blocked. I started to drink more than usual just to flush out anything which could be harmfull. Now the flow is exetermly fast and sometimes can't control it. the spasm did not disappear. I went to three different health providers in one day(5 days later).the first told there was nothing wrong with the urine sample. The second said there was blood(+1) and a trace of protein and some ketone. The third said the is a sighn of infection. However i started to feel tired and sick and unable to sleep. Whom to follow and what it could be?

  2. MandMs

    Soreness or a spasm as you describe it, may occur in the lower abdomen, back, or sides during an episode of UTI.
    A urine that is released may be tinged with blood during this time.
    Feeling that you are unable to urinate fully or urination hesitancy usally occurs in chronic and recurrent urinary tract infections.
    Ketones in urine can result from the type of diet (diet high in proteins, or diet low in carbohydrates), starvation or fast, or may indicate uncontrolled diabetes.
    People with diabetes tend to have more frequent UTI's, since the high blood sugar levels is a predisposing factors.
    If you start to experience fever, nausea, vomiting, chills, severe abdominal and back pain, see your physician as soon as possible since these symptoms may indicate spread of the UTI to the kidneys.
    Best wishes!
    Marija

  3. mygoose

    I began with low back pain 5days ago, saw my GP yesterday and the day before, the pain was also in my lower right abdomen, since then I have had increasing signs of blood in my urine sometimes its visible other times only detected by urine dip stix, today I dipsticked my urine and there was a positive purple square where the ketones show, repeated this later in the day the ketones seem to have gone but still a green indicator showing blood. I was sent to A and E last night where they told me I need to see a urology specialist but they were unable to do a scan due to no ultrasound technician available, I am a bit worried about all this as it spontaneously happened, I have had no accidents or trauma to cause this please advise. I have a history of IBS and haemorragic cysts on my ovaries, I had a hysterectomy 10yrs ago and have been diagnosed with the menopause nearly a year ago, taking a low dose eostrogen HRT.

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Films Media Group - Respiratory Alkalosis And Acidosis: Acid/base Balance

Respiratory Acid/Base Imbalance Responsibilities (00:51) Abnormal breathing patterns can result in alkalosis and acidosis. This video will cover causes and effects, patients at risk, signs and symptoms, assessments and nursing interventions. Hyperventilation caused by anxiety, fever, drug stimulation or mechanical over ventilation eliminates more carbon dioxide and carbonic acid from the system, resulting in an alkaline condition. Decreases in hydrogen ion and carbon dioxide constrict brain blood vessels, causing faintness and vertigo. Decreased calcium causes neuromuscular symptoms such as tingling, carpopedal spasm or convulsions; nausea may develop. Respiratory Alkalosis Nursing Intervention (00:45) A lack of respiratory disease indicates hyperventilating patients aren't having blood oxygenation difficulty. If they are unable to slow breathing, use a paper bag to reduce carbon dioxide loss. Respiratory Alkalosis Clinical Diagnosis (01:24) Clinical symptoms caused by anxiety, fever or faulty machine settings can be corrected without blood gas analysis. Fluid volume deficit should be treated with hydration. Respiratory Alkalosis Laboratory Diagnosis (02:38) In the beginning stage Continue reading >>

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  1. Dark_Ansem

    I'm not sure I fully understand the relationship between Testosterone and ketosis. I know the basics, such as that a keto diet is also supposed to be testo-boosting, but I wonder if there is more to that.
    Amongst other things, I wonder if higher testosterone means more efficient ketosis and fat-adaptation. Or if higher testosterone means more muscle-sparing metabolism while during keto.

  2. Ultrasonic

    All I can find from a very quick Google are links suggesting ketogenic diets are likely to REDUCE testosterone levels.
    Are you able to post a link to a study showing that free testosterone is increased on a ketogenic diet?

  3. Dark_Ansem

    https://www.ncbi.nlm.nih.gov/pubmed/6298507
    https://www.ncbi.nlm.nih.gov/pubmed/15292100#
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1334192/
    To be fair, however, I assume a lot of it depends on which fats and foods you eat during a keto diet.

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Visit my review article "Hypoxia Plays Key Role in Formation of Both Obesity and Diabetes Mellitus" at: https://bioaccent.org/diabetes/diabet... We absolutely lead in oxygen research worldwide! Home: http://zhuchengtai.net In world wide, none of the drugs that are approved by authorities like FDA heal such prevalent health problems as malaise, sleeping disorder, obesity, diabetes M., hypertension, pain symptoms, brain abnormalities, et cetera. Instead, what the drugs do is merely treating the symptoms temporarily. We found that by boosting blood quality, so as to boost oxygen and energy, most of the above mentioned problems can be improved or healed. That is exactly in line with the common wisdom: Those energetic seldom suffer from any chronic illnesses; and those less energetic suffer from various chronic illnesses. By "boosting blood quality", we not only mean improving oxygen carrying capacity but also the capability of oxygen release to the tissues cells. Obesity and diabetes are also called metabolic syndrome due to disorder in sugar metabolism. Glucose by nature is of fuel that is to say its principal mission is to burn itself to provide energy for biological activity of the

Managing Hypoxia And Hypercapnia

The main objective when treating hypoxia (a deficiency of oxygen in the tissues) and hypercapnia (a high concentration of carbon dioxide in the blood) is to give sufficient oxygen to ensure that the patient is safe and his or her condition does not deteriorate. Dave Lynes, RGN, is head of academic services at the Respiratory Education and Training Centre, Aintree and senior lecturer at Edge Hill College, Liverpool Anne Riches, BSc, RGN, is respiratory nurse specialist at the Countess of Chester Hospital and lecturer at the Respiratory Education and Training Centre, Aintree Download a print-friendly PDF of this article here However, while giving too little oxygen can result in hypoxia, which can result in death, excessive oxygen therapy can also be dangerous for some patients. Many patients with chronic obstructive pulmonary disease (COPD) require controlled oxygen therapy because there is a risk that they will retain carbon dioxide and as a consequence develop respiratory acidosis which can be fatal. It is important to be aware that not all patients with COPD need a low concentration of oxygen, and oxygen concentrations of 24 per cent to 28 per cent are not always sufficient (Agus Continue reading >>

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  1. Deranged_hypnotist

    Hey all, So I began this Keto diet over 1 month ago and the results have been FANTASTIC! I have lost 35 pounds! (M/6'1 Sw: 245 CW: 210 GW: 180) I have been extremely happy with myself now and its all thanks to you guys. Sadly though yesterday while checking my ketosticks i saw blood in my urine and after a 7 hour ER visit I was told by the doctor that I had passed a kidney stone and gotten a UTI from it as well. I have never had a kidney stone in my life or any major health problems (aside from being overweight). The doctor told me to get off my diet until I can see an urologist to find out why I have a kidney stone. The thing is the next available appointment is not for a long time since I work 2 jobs. So I have done a bit of research and a side effect of being in ketosis is kidney stones (from random online website).
    So my questions to r/keto is 1. How often does this happen? 2. Is this Research Valid Online? 3. Where do I go from here?
    I still want to continue keto for the next 30 more pounds.
    P.S. I do not want this post to discourage anyone from trying keto, EVERYONE'S body is different.

  2. gogge

    Higher protein intake increases the calcium absorption in the gut, and consequently increases the calcium excreted in the urine. Ketosis increases the need to balance blood pH as ketones are acidifying, one way the body likely does this i by increasing calcium leaching from the bones, this also increases urine calcium excretion.
    Increased calcium levels in the urine increases the risk of calcium-oxalate stone formation.
    Excretion of ketones in the urine increases urine acidity, as does the increased excretion of uric acid (can lead to supersaturation, the uric acid can't dissolve and form crystals).
    Increased urine acidity increases the risk of kidney stone formation, lower levels of citrate in the urine also increases the risk of stone formation.
    Paul over at perfecthealthdiet.com has an article on kidney stones and carb restriction, "Dangers of Zero-Carb Diets, IV: Kidney Stones".
    Generally the best way to counter this is to eat more vegetables, most have a negative potential renal acid load (PRAL), which means they'll reduce the acidity of urine (here's a list of foods and their PRAL score). Even calcium rich foods can help as the calcium will bind to oxalate (chelation) in the gut and prevent absoption.
    Increased water intake also helps as it balances the urine pH and prevents supersaturation (through dilution) as you pee more, in general dehydration is a common risk factor for stone formation.
    Another more drastic way to reduce calcium excretion, reduce urine acidity, and increase urine excretion of citrates, is to supplement with potassium citrate. It's been tested in epilepsy studies and resulted in a very high reduction in stone formation incidents (0.9% of patients compared to the 25% Paul mentions in his article):
    Successful empiric administration of Polycitra K at KD onset resulted in a kidney-stone incidence of 0.9% (1 of 106) compared with administration only because of hypercalciuria, 6.7% (13 of 195; P = .02).
    McNally MA, et al. "Empiric use of potassium citrate reduces kidney-stone incidence with the ketogenic diet." Pediatrics. 2009 Aug;124(2):e300-4. Epub 2009 Jul 13.
    You probably need to talk to your doctor about that as potassium is usually limited to ~99 mg for OTC tablets.
    Anecdotaly another thing sometimes used is sodium (or potassium) bicarbonate, as it also reduces urine acidity. I haven't seen any studies on it, but WebMD has some articles on it, "Sodium Bicarbonate (Baking Soda) for Kidney Stones". It's probably a good idea to discuss this with your doctor before starting taking any.

  3. [deleted]

    I had kidney stones about 3 years ago and from what I understand is that there are two different types. Calcium stones and uric acid stones.
    Calcium stones are more often than not a result of not enough fluid intake or an over abundance of calcium in your diet. Were talking multiple Tums a day, a wheel of cheese, gallons of cream - for most people. Others can just be an increase in calcium intake that the body is not used to. Such as going from little to no calcium intake, to hitting well over the suggested daily amount. This could very well be the case with you.
    From what I understand as well, uric acid stones are likely hereditary.
    At the end of the day, no, your keto diet is not the cause of your Kidney stones.
    Personally, I would never wish the pain of a kidney stone onto my worst enemy. So your best course of action is to be sure you're drinking plenty of water. Make sure your pee is always crystal clear. Increase your magnesium intake, either via supplements or more easily, eat an avocado every day. You also have to make sure you supplement your magnesium with calcium. This sounds counterintuitive to what I just stated, but the two work in conjunction with each other ( i dont know the exact science of it). I would suggest chewing on 1 or 2 Tums a day (depending on how much cheese and other dairy products you're already eating).
    Hope this helps!

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