Question

During the progressive stage of shock, anaerobic metabolism occurs. Which complication should the nurse anticipate in this client?

Answer 1

During the progressive stage of shock, anaerobic metabolism occurs. The nurse anticipates metabolic acidosis.

Anaerobic metabolism at the cellular level occurs when oxygen transport and tissue oxygenation are compromised. This can be a result of hypoxemia, anemia, inadequate systemic blood flow, or a combination of these factors.

"Aerobic metabolism requires oxygen, anaerobic metabolism takes place without oxygen. Anaerobic metabolism of glucose leads to the accumulation of lactic acid, resulting in metabolic acidosis. Lactic acid reacts with bicarbonate, causing the serum bicarbonate to fall, resulting in a base deficit. The fast-paced exercises are ideal for triggering anaerobic metabolism and improving endurance."

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