Acid Base Balance

1137 Words Nov 18th, 2015 5 Pages
Acid-Base Balance
Kelly Heffron
Grand Canyon University NUR-614
September 16, 2015

Acid-Base Balance
The acid base balance is a homeostatic process that aides the body in maintaining a pH in the arterial blood between 7.35-7.45 (Patient, 2015). The body works together through multi-systems to ensure that acidity or alkalinity never take over within the blood. The purpose of the following paper is define the classification of the acid-base balance, define the factors from the case study, explain the pathophysiology, describe the compensatory mechanisms, pharmacological interventions, and the educational needs of patients with an imbalance.
Classification
In the following case study, the patient presents with metabolic alkalosis.
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Another major factor that the patient did was self-prescribe antacids for the stomach issues (Grand Canyon University, 2015). Metabolic alkalosis occurs from excessive intake of antacids. Antacids are calcium carbonate, magnesium hydroxide and sodium bicarbonate (Human Touch of Chemistry, 2015). With the vomiting and loss of gastric secretions, HCO3 began to build-up in the body. For the stomach upset, the patient began to add more HCO3 formularies to the stomach, which increased the levels of HCO3 in the body.
Pathophysiology
There are different ways that metabolic alkalosis can occur. Generally, the imbalance occurs from a loss of hydrogen ions, a shift of hydrogen ions into the intracellular space, and administration of antacids (Medscape, 2015). Hydrogen ions are lost from the kidneys and the gastrointestinal tract, which occurs from vomiting and diarrhea. When hydrogen ions are excreted from the body, bicarbonate ions are added to the intracellular space (Medscape, 2015).
Compensation Mechanism
When homeostasis is disrupted, the body will respond in several ways. Depending upon the imbalance, the body will work to quickly correct the problem and restore the body to homeostatic state. There are organ systems involved to correct the issues, like the renal and respiratory systems. When the body breathes, the lungs blow off carbon dioxide that has built up in the body.
Renal Compensation In the case study, the patient was suffering with