A client has been admitted with a mild case of alkalosis. What would the nurse expect to be ordered?
1. 0.9 NS
2. 0.9 NS with 20 mEq potassium
3. Oral potassium supplements
4. Lactated Ringer's solution
2
Rationale 1:0.9 NS is incorrect because in mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride.
Rationale 2: Treatment of alkalosis is directed toward addressing the underlying condition that is causing the excess bases to be retained. In mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride. This combination increases the renal excretion of bicarbonate ion (a base), which indirectly increases the acidity of the blood.
Rationale 3:Oral potassium supplements is incorrect because in mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride.
Rationale 4: Lactated Ringer's solution is incorrect because in mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride.
Global Rationale: Treatment of alkalosis is directed toward addressing the underlying condition that is causing the excess bases to be retained. In mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride. This combination increases the renal excretion of bicarbonate ion (a base), which indirectly increases the acidity of the blood. 0.9 NS is incorrect because in mild cases, alkalosis may be corrected by administering sodium chloride concurrently with potassium chloride.
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