Concept Analysis Diagram – Acid Base Balance
RNSG 1324Concept-Based Transition to Professional Nursing PracticeConcept – ACID BASE BALANCEConcept Definition Acid Base Balance is defined as the process of regulating the pH, bicarbonate concentration and partial pressure of carbon dioxide of body fluids. (G) ExemplarsDiabetic Ketoacidosis (DKA)Hyperventilation (Birthing Mother, Panic Attack)Gastrointestinal Losses (Pediatric)Drug Overdose with HypoventilationObjectivesExplain the concept of Acid Base Balance (including definition, antecedents, and attributes).Identify the normal adult values for arterial and mixed venous blood gases at sea level.Describe the influence of the respiratory system on Acid Base Balance and respiratory regulation of H+.Describe how the kidneys regulate hydrogen and bicarbonate ion concentrations in the blood.Distinguish between acidosis and alkalosis resulting from respiratory and metabolic factors.Identify hemostatic processes in the maintenance and correction of Acid Base BalanceExplain the correlation between the listed exemplars and the concept of Acid Base Balance (including compromised antecedents, deficit measurement in attributes, a list of negative consequences, and the interrelated concepts which may be involved).Identify conditions which place an individual at risk for acid base imbalance leading to the listed exemplars.Apply the nursing process (including collaborative interventions for correcting hypoxemia).AssignmentsReview the following from previous course(s)Physiology of normal acid base regulation/homeostasis Buffering systems: role of the respiratory and renal systems in maintenance of acid base balanceKey definitions: Acid – a substance that releases hydrogen ions (H+)Base – a substance that takes up hydrogen ions (H+)Bicarbonate (HCO3) - is the most important “base” in the bodypH – is the measurement of acidity, alkalinity in a solution, the negative logarithm of hydrogen ion concentration, inverse relationship exists between hydrogen ion concentration and pH Prior to classFollow the “Read Me” File under the Acid-Base Module on CanvasReview the Acid Base Balance Concept Analysis Diagram and explanation Complete the assigned readings*Page numbers, pre-class assignments, and other lecture information will be posted on blackboard.Yoost (2017) Chapter 39Giddens (2017) Chapter 9Lewis (2014) Chapter 17Concept Content Outline:For Each Exemplar:PathophysiologyRisk Factors Nursing ProcessAssessment:Comprehensive historyPhysical assessmentCultural, behavioral, social assessmentPhysical and psychological clinical manifestationsDiagnostic testsPlanningImplementationNursing; Primary, Secondary, & TertiaryTeachingCollaborativePharmacological therapyNon-Pharmacological therapyProcedural therapiesPositive OutcomesNegative OutcomesN:ADN Syllabus/CBCCurriculum/Transition Summer 2017/RNSG 1324/Acid-Base Balance Revised 3/17 ................
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