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8 . Edward goes into cardiac arrest but is revived in three (3) minutes by the p

ID: 82157 • Letter: 8

Question

8. Edward goes into cardiac arrest but is revived in three (3) minutes by the paramedics. They administer intravenous sodium bicarbonate to correct the acidosis that developed during the cardiac arrest. He then begins to exhibit excessive neuromuscular excitability and starts to have seizures. Explain:

                 

a. why his cardiac arrest produced a state of acidosis?

                 

b. why sodium bicarbonate would correct the acidosis?

                 

c. why he developed hypernatremia?

                 

d. and, what could be done next to correct the hypernatremia?

Explanation / Answer

a) Cardiac arrest is caused a state if acidosis because it occurs due to hyperlactatemia.Due to this cardiac arrest with metabolic acidosis is common in patients.

b) Generally acidosis is caused due to the lack of bicarbonates in the body so by inducing sodium bicarbonates in the body,we can correct acidosis.

c) Because his sodium concentration level exceed more than the required level and the total water content which is relative to the electrolyte content decreases and this condition is known as hypersomlar condition.This is the reason that Edward effected with hypernatremia.

d) The medical care should be taken to correct hypernatremia is observing the serum and electrolytes levels for every 2 hours.Some times inorder to correct hypernatremia,dialysis is to be required.Correction of levels of serum sodium for every 2 hours.By following these steps. we can control hypernatremia

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