Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Concept Analysis Diagram – Acid Base Balance Nursing Care Directed toward what contributes to a normal concept and is thereby related to all factors involved in or with the concept. Not always needed to have a normal outcome. Attributes Defining characteristics of the concept What property, quality, or data must be present for the concept to exist Antecedents What precedes the concept for it to exist Events or incidents that must happen before the concept Consequences Untoward events or outcomes that occur due to malfunction within the concept Positive events or outcomes that occur due to proper functioning within the concept Interrelated Concept Concepts which can affect change in the other Concepts which work together to ensure a normal process Concepts which if depleted or impaired can cause a negative consequence in the other Sub-Concept Critical components of major concept Nursing Care Attributes Primary, Secondary, Tertiary Metabolism Fluid and Electrolyte Balance Respiratory Rate WNL Ph 7.35-7.45 Oxygen Saturation > 94% PaO2: 85-100 PaCO2: 35-45 mmHg EtCO2: 35-45 mmHg Perfusion Gas Exchange Interrelated Concepts Antecedents Elimination Nutrition Normal Respiratory and Renal Functions Normal Digestion Functions Absence of Nausea & Vomiting or Diarrhea Good Nutrition Krebs Cycle Normal Anion Gap Oxyhemoglobin Disassociation Curve Acid Base Balance The process of regulating the pH, bicarbonate concentration and partial pressure of carbon dioxide of body fluids. (G) Consequences (Outcomes) Changes in Level of Consciousness Anxiety Negative Physiologic Processes of Acid Base Balance Sub Concepts Tetany, Tingling of Extremities, Seizures Positive Cardiac Arrhythmias Non-Labored Respirations Consequences of Disruption Compensatory Mechanisms Balanced Acid & Base Production Vomiting/Diarrhea Cellular Destruction Normal Activity for Age, Energy 73 © 2015, Texas CBC Consortium. All Rights Reserved. Revised 6.15 Death Concept Analysis Diagram – Acid Base Balance Explanation of Acid Base Balance Diagram: Acid Base balance is the process of regulating the blood pH nursing care is directed at maintaining a normal blood pH and preventing hypoxemia. The sub-concepts include physiologic processes of acid base balance, compensatory mechanisms and consequences for disruption. Interrelated concepts, which impact Acid Base Balance and which Acid Base Balance impacts, are Fluid and Electrolyte Balance, Perfusion, Gas Exchange, Elimination, and Nutrition. Attributes defining whether acid base balance exists at an optimum level are normal arterial blood gas values and normal respiratory rate. Maintenance of acid base balance requires the following antecedents: normal respiratory and renal function, normal digestive processes, absence of vomiting and diarrhea, adequate nutrition and a normal anion gap. Positive outcomes of acid base balance are balanced acid and base production, non-labored breathing and normal activity/energy level for age. Some negative consequences of acid base imbalances include anxiety, changes in level of consciousness, tingling of extremities, cardiac dysrhythmias, and cellular destruction leading to death. 74 © 2015, Texas CBC Consortium. All Rights Reserved. Revised 6.15