酸碱平衡护理双语—培训课件.pptx

UNIT IIINursing Sciences;UNIT III Nursing Sciences;Acid-Base Balance ;;Pyramid terms;CRITICAL THINKING ;Regulatory Systems for Hydrogen Ion Concentration in the Blood;Regulatory Systems for Hydrogen Ion Concentration in the Blood;Regulatory Systems for Hydrogen Ion Concentration in the Blood;Regulatory Systems for Hydrogen Ion Concentration in the Blood;; ;氨的排泄 ( ammonia excretion);Potassium exchange钾离子的交换;;pH;Ⅲ. Respiratory acidosis;Causes of respiratory acidosis;Interventions ;Ⅳ. Respiratory Alkalosis;Ⅳ. Respiratory Alkalosis;Ⅳ. Respiratory Alkalosis;Ⅴ. Metabolic Acidosis;Causes of Metabolic Acidosis;Ⅴ. Metabolic Acidosis;Ⅴ. Metabolic Acidosis;Ⅵ. Metabolic Alkalosis;Causes of Metabolic Alkalosis;Ⅵ. Metabolic Alkalosis;Ⅵ. Metabolic Alkalosis;Ⅶ. Arterial Blood Gases动脉血气;1. Obtain vital signs. 2. Determine whether the client has an arterial line in place (allows for arterial blood sampling without further puncture to the client). 3. Perform the Allen’s test to determine the presence of collateral circulation 4. Assess factors that may affect the accuracy of the results, such as changes in the O 2 settings, suctioning within the past 20 minutes, and client’s activities. 5. Provide emotional support to the client. 6. Assist with the specimen draw by preparing a heparinized syringe (if not already prepackaged). 7. Apply pressure immediately to the puncture site following the blood draw; maintain pressure for 5 minutes or for 10 minutes if the client is taking an anticoagulant. 8. Appropriately label the specimen and transport it on ice to the laboratory. 9. On the laboratory form, record the client’s temperature and the type of supplemental oxygen that the client is receiving.;Allen’s Test;Normal ABG values;4-step;;CRITICAL THINKING ;;;;;;