Download Concept Analysis Diagram * Acid Base Balance

RNSG 1324
Concept-Based Transition to Professional Nursing Practice
Concept – ACID BASE BALANCE
Concept 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)
Exemplars
Diabetic Ketoacidosis (DKA)
Hyperventilation (Birthing Mother, Panic Attack)
Gastrointestinal Losses (Pediatric)
Drug Overdose with Hypoventilation
Objectives
1. Explain the concept of Acid Base Balance (including definition, antecedents, and attributes).
2. Identify the normal adult values for arterial and mixed venous blood gases at sea level.
3. Describe the influence of the respiratory system on Acid Base Balance and respiratory
regulation of H+.
4. Describe how the kidneys regulate hydrogen and bicarbonate ion concentrations in the blood.
5. Distinguish between acidosis and alkalosis resulting from respiratory and metabolic factors.
6. Identify hemostatic processes in the maintenance and correction of Acid Base Balance
7. Explain 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).
8. Identify conditions which place an individual at risk for acid base imbalance leading to the listed
exemplars.
9. Apply the nursing process (including collaborative interventions for correcting hypoxemia).
Assignments
Review 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
balance
 Key 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 body
pH – 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 class
 Follow the “Read Me” File under the Acid-Base Module on Canvas
 Review 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 39
 Giddens (2017) Chapter 9
 Lewis (2014) Chapter 17
Concept Content Outline:
For Each Exemplar:
 Pathophysiology
 Risk Factors
 Nursing Process
o Assessment:
 Comprehensive history
 Physical assessment
 Cultural, behavioral, social assessment
 Physical and psychological clinical manifestations
 Diagnostic tests
o Planning
o Implementation
 Nursing; Primary, Secondary, & Tertiary
 Teaching
 Collaborative
 Pharmacological therapy
 Non-Pharmacological therapy
 Procedural therapies
 Positive Outcomes
 Negative Outcomes
N:ADN Syllabus/CBCCurriculum/Transition Summer 2017/RNSG 1324/Acid-Base Balance
Revised 3/17