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Box 11-21

Chart Smart

If your patient has metabolic acidosis, make sure you document the following information:

  • assessment findings, including results of neurologic examinations
  • intake and output
  • notification of the practitioner
  • prescribed medications and IV therapy and the patient's response
  • safety measures implemented
  • serum electrolyte levels and ABG results
  • ventilator or dialysis data
  • vital signs and cardiac rhythm
  • patient teaching.