Metabolic Panel Findings In Preoperative Patient Essay Assignment

Metabolic acidosis occurs when the body’s metabolic acid concentration increases due to the kidney’s impaired ability to maintain acid-base balance, which results in low blood pH. The Bradford Anaesthetic Department Acidosis Study led by Lawton et al. (2020) analyses the presence of postoperative metabolic acidosis (MA), focusing on patients undergoing major elective surgeries. MA was identified to affect the majority of the patients (78%) post-operatively, while some of the patients had early features of acidosis even before surgical incision. The research identifies two phases of MA: an early phase characterized by the increase of chloride and a decrease in the anion gap, unrelated to the effects of saline administration, and a second phase that involves lactate, which depends on the type of surgical intervention and IV fluids used. While the early phase of acidosis seems unavoidable, the late phase might be modifiable through early fluid intervention. Metabolic Panel Findings In Preoperative Patient Essay Assignment

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A possible nursing diagnosis for the condition is: Risk for Electrolyte Imbalance related to metabolic acidosis, as evidenced by alterations in chloride and bicarbonate levels during and after surgery. Several measures can be adopted as part of the nursing intervention to monitor the patient’s metabolic acidosis closely. These should involve frequent sampling of the arterial blood gases to monitor the pH, the bicarbonate level, and the base excess to identify the onset of acidosis. Chloride and lactate concentrations should also be regularly assessed since they reflect the primary metabolic abnormalities (Jung et al., 2019). Other interventions should focus on the patient’s fluid balance with strict monitoring of IV fluids to correct electrolyte disturbances and the overall treatment of acidosis. It is also essential to monitor respiratory rate or depth, mental state, and urinary output for more information on the outcomes of the intervention and potential modifications in the management plan. Metabolic Panel Findings In Preoperative Patient Essay Assignment

References

Jung, B., Martinez, M., Claessens, Y.-E., Darmon, M., Klouche, K., Lautrette, A., Levraut, J., Maury, E., Oberlin, M., Terzi, N., Viglino, D., Yordanov, Y., Claret, P.-G., & Bigé, N. (2019). Diagnosis and management of metabolic acidosis: Guidelines from a French expert panel. Annals of Intensive Care, 9(1). https://doi.org/10.1186/s13613-019-0563-2

Lawton, T., Quinn, A., & Fletcher, S. (2020). Perioperative metabolic acidosis: The Bradford Anaesthetic Department Acidosis Study. Journal of the Intensive Care Society, 20(1), 11–17. https://doi.org/10.1177/1751143718772792 Metabolic Panel Findings In Preoperative Patient Essay Assignment

Using a Library database, find an ARTICLE (topic of metabolic panel findings and implications for nursing) related to the care of a patient in the preoperative phase. Please SUMMARIZE the article and provide at least One Nursing INTERVENTION AND One Nursing DIAGNOSIS related to the TOPIC of metabolic panel findings and implications for nursing.

100-200 WORDS
At least ONE REFERENCE
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