Answer :
Final answer:
The appropriate treatment for hydrogen ion excess (acidosis) involves a) Increase ventilation, consider bicarbonate bolus.
Explanation:
In cases of hydrogen ion excess (acidosis), low amplitude QRS complexes on the ECG can be indicative of severe acidosis. The primary treatment approach is to address the acidosis by increasing ventilation. Option (a) "Increase ventilation, consider bicarbonate bolus" aligns with the recommended interventions for acidosis. Increasing ventilation helps to eliminate excess carbon dioxide (CO2), a major contributor to acidosis. The consideration of a bicarbonate bolus is appropriate in severe cases to quickly raise the blood pH and correct the acidosis.
Ventilation is a crucial factor in the acid-base balance of the body. By increasing ventilation, more carbon dioxide is expelled through the respiratory system, reducing the levels of carbonic acid and hydrogen ions in the blood. Bicarbonate bolus, on the other hand, can provide immediate buffering of excess hydrogen ions and help restore a more normal pH. However, it should be used judiciously and with caution, as excessive administration can lead to complications.
In summary, the appropriate treatment for hydrogen ion excess (acidosis) involves increasing ventilation to eliminate excess carbon dioxide and considering a bicarbonate bolus to rapidly correct the acidosis. Option (a) accurately reflects this approach, making it the correct choice in this context.
