A patient in shock is diagnosed with metabolic acidosis. What should the nurse realize as being the mechanism behind the development of this acid-base imbalance?
a. Excessive aerobic metabolism
b. Excessive anaerobic metabolism
c. Decreased anaerobic metabolism
d. Release of cortisol and glucagon
____
ANS: B
Anaerobic metabolism results in the production of lactic acid as an unwanted by-product. Unless the lactic acid can be circulated to the liver and removed from the bloodstream, the blood will become increasingly acidic. A. Metabolic acidosis will not develop in the presence of aerobic metabolism. C. Decreased anaerobic metabolism will not cause metabolic acidosis to develop. D. The release of cortisol and glucagon ensures the body tissues receive fuel because of the shock.
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What is the value of estimating medication doses before calculation and preparation?
What will be an ideal response?