nurse is caring for a client with a wound infection who develops septic shock. The nurse notes the following arterial blood gas results: pH of 7.25, PaCO2 of 43 mm Hg (5.7 kPa), partial pressure of arterial oxygen (PaO2) of 70 mm Hg (9.3 kPa), and bicarbonate (HCO3–) of 18 mEq/L (18 mmol/L). According to the oxyhemoglobin dissociation curve, the nurse would be most correct to highlight which statement on the shift report?

Answer:

PaCO2 of 43 mm Hg (5.7 kPa),

Explanation:

Respiratory acidosis

The result is, the client has respiratory alkalosis. A patient with pneumonia could hyperventilate to take in more oxygen.

A patient with pneumonia may hyperventilate in an effort to take in more oxygen, resulting in respiratory alkalosis. This client's increased pH level is an indication of alkalosis, which is brought on by excessive carbon dioxide (CO2) loss from hyperventilation. Because the kidneys' response to producing bicarbonate (HCO3-) is delayed in respiratory alkalosis, the patient's HCO3- level remains normal.

The partial pressure of arterial carbon dioxide (PaCO2) has a below-normal value, which denotes CO2 loss and a respiratory component. There is no metabolic component to this imbalance because the HCO3- level is normal. As a result, the client has respiratory alkalosis.

Therefore, The result is, the client has respiratory alkalosis. A patient with pneumonia could hyperventilate to take in more oxygen.

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