The client is receiving sodium bicarbonate intravenously (IV) for correction of acidosis secondary to diabetic coma. The nurse assesses cyanosis, slow respirations, and irregular pulse. What is the nurse's priority action?

Question

Quizplus · Accepted Answer

Cyanosis, slow respirations, and irregular pulse are symptoms of alkalosis, which can occur if too much sodium bicarbonate is given too quickly. Therefore, the priority action is to stop the infusion and notify the physician. Increasing the rate of the infusion could further worsen the alkalosis, while decreasing the rate would still allow some bicarbonate to enter the bloodstream and worsen the alkalosis. Continuing the infusion would also worsen the alkalosis.

The Client Is Receiving Sodium Bicarbonate Intravenously (IV) for Correction