The nurse should ask for the following risk factors when assessing for metabolic acidosis :
When did your kidneys cease to function?What is the duration of your diarrhea?Which diet are you using to lose weight?Reduced metabolic acid excretion from oliguria or anuria (kidneys not functioning), excessive metabolic acid generation from starving ketoacidosis (wrong weight loss diet), and loss of bicarbonate from diarrhea are risk factors for metabolic acidosis. Vomiting (acid loss) and excessive usage of bicarbonate antacids both result in metabolic alkalosis. Breathlessness might be a symptom of respiratory acidosis.
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