DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program

NURSING CARE PLAN

HYPERBICARBONATEMIA

ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION

INTERVENTIONS

● Assess the Nursing Dx: Within 8 hours of INDEPENDENT: INDEPENDENT: a. The patient's fluid
patient's health nursing interventions: volume imbalance
history. Imbalanced Fluid 1. Restoring 1. To maintain the right due to
a. Patient will
● Evaluate for Volume related to Electrolyte balance of electrolytes hyperbicarbonatemi
remain free from
symptoms such as hyperbicarbonatemia Balance. helps your body's blood a has been
signs of
nausea, vomiting, as evidenced by chemistry, muscle action assessed and is
dehydration, with 2. Normalizing
muscle weakness, elevated serum and other processes. evident through
vital signs within Acid-Base
tremors, bicarbonate levels, 2. To determine the elevated serum
normal limits. Balance.
numbness, increased blood appropriate treatment bicarbonate levels,
b. Patient will 3. Improving
tingling, irritability, pressure, and and evaluate the increased blood
demonstrate Respiratory
and altered mental decreased urine effectiveness of pressure, and
interventions to Function.
status. output. interventions about the decreased urine
manage vomiting 4. Promoting
● Monitor for cardiac importance of output.
and correct fluid Nutritional
arrhythmias, oxygenation in the blood. b. This evaluation
loss. Balance.
irregular heart 3. This examination can demonstrates the
c. The patient and 5. Preventing
 rhythms. their family will Complications. offer significant clues successful
● Monitor blood verbalize an 6. Initiating family related to issues recognition of the
pressure. understanding of health teaching associated with the problem and its
● Assess muscle medication and patient body's ability to obtain associated clinical
strength, presence compliance, education. adequate oxygen to manifestations.
of muscle cramps, dietary perform daily functions. c. It is essential to
and signs of tetany modifications, 4. A healthy diet helps to continue monitoring
(muscle and potential protect against the patient's
DEPENDENT:
contractions). complications malnutrition in all its condition closely,
● Monitor the related to forms, as well as a range implement
a. Administering
Arterial Blood Gas metabolic of noncommunicable appropriate
Medication and
(ABG), Serum alkalosis. diseases (NCDs) and interventions, and
Providing
Bicarbonate d. The patient will other conditions. evaluate the
Pharmacological
Levels, Potassium follow a 5. This procedure promotes effectiveness of
Interventions.
Levels, Calcium prescribed diet proper handwashing, treatment to restore
Levels, that includes maintaining strict fluid balance and
Electrocardiogram appropriate surgical aseptic manage
(ECG), and Renal amounts of technique, and to hyperbicarbonatemi
Function Tests of potassium, perform pulmonary a effectively.
the patient. calcium, and exercises. d. Collaborative care
sodium. 6. Include family members with the healthcare
e. The patient will in health care team remains
experience management ... crucial in ensuring
improved Involving family the patient's
comfort and members in patient well-being and
relief from teaching improves the addressing any
nausea, chances that your potential
vomiting, muscle instructions will be complications
weakness, and followed. related to this fluid
tremors. and electrolyte
imbalance.

DEPENDENT:

a. To reduce the patient's

pain, reduce fever, or
treat infection.
 DAVAO DOCTORS COLLEGE
General Malvar St., Davao City
Nursing Program

NURSING CARE PLAN

HYPOBICARBONATEMIA

ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION

INTERVENTIONS

● Obtain a detailed Nursing Dx: f. The patient will INDEPENDENT: INDEPENDENT: ● Patient will maintain
medical history to achieve normal pH normal levels of
help uncover Acute Confusion and bicarbonate 1. Orient the patient 1. To enhance patients' electrolytes.
potential factors related to levels, indicating a as needed. feelings of security ● Patient will remain
contributing to electrolyte return to and comfort, allow oriented to person,
2. Closely monitor
metabolic imbalance as physiological them to more place, time, and
laboratory results.
acidosis. evidenced by balance. accurately interpret situation.
3. Explain
● Perform a alterations in g. The patient will these stimuli, and ● Patient will
procedures and
thorough physical consciousness. exhibit a reduced risk ultimately reduce demonstrate
interventions.
examination to aid of complications, delirium. alertness and
4. Plan care that
in identifying such as electrolyte 2. To evaluate the levels appropriate
allows adequate
clinical imbalances, cardiac of a prescribed drug in decision-making.
sleep and rest.
manifestations of arrhythmias, and a patient's ● Nursing interventions
5. Addressing the
metabolic neurological bloodstream. and collaborative
Acid-Base
acidosis. impairments. 3. The explanation care with the
Imbalance.
● Closely monitor h. The patient will 6. Monitoring should be healthcare team are
the patient’s experience alleviation Diagnostic individualized and crucial to mitigate the
respiratory rate, of symptoms, Procedures and specific to each risk, and prevent
rhythm, and depth. including rapid Laboratory patient based on further complications
● Assessing the breathing, confusion, Studies. physical, emotional, related to
patient’s mental weakness, and 7. Monitor serum as well as hypobicarbonatemia.
clarity, alertness, gastrointestinal potassium levels psychological needs. ● Continual
orientation, and discomfort. regularly and 4. This procedure assessment and
cognitive function i. The patient will assess for signs enables the body to evaluation of the
is essential. become active of hyperkalemia. repair and be fit. patient's condition will
● Monitor vital signs, participants in their 5. It is important to guide the
including heart care, leading to address the effectiveness of
rate, blood better adherence to Acid-Base Imbalance interventions and
pressure, and treatment plans and because the normal ensure optimal
DEPENDENT:
temperature. improved function of nearly all patient outcomes.
● Evaluate urinary self-management. physiological
pH and specific a. Administering processes in the body
gravity to help Medication and depends on
assess the renal Providing maintenance of
system’s role in Pharmacological appropriate acid-base
acid-base Interventions. balance.
regulation. 6. The primary purpose
● Analyze ABG of diagnostic testing is
results. to detect a disease, its
● Observe the outlook, and its
presence of spread throughout the
acidosis-related body.
symptoms. 7. The physician may
order this test if the
patient has signs of
high blood pressure or
heart problems.

DEPENDENT:

a. To reduce the
patient's pain, reduce
fever, or treat
infection.