UPDATED MARK KLIMEK YELLOW BOOK (KV)
EXAM WITH BEST ANSWERS
If water is present in the dependant loops you?
- answer-Open system and empty water.
If mucus is present you? - answer-Turn them,
cough and have them deeo breath first. If
ineffective you then suction.
Don't suction unless - answer-Coughing &
deep breathing is deemed inappropriate.
If the pH and the BiCarb are both in the same
direction then it is? - answer-Metabolc
If the pH is up it is? - answer-Alkalosis
,As the pH goes so goes my patient except for?
- answer-Potassium
If the pH is down it is? - answer-Acidosis
If the pH is up my patient with show signs and
symptoms of? - answer-Increase... like
tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs
and symtoms of? - answer-Decrease... like
decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? -
answer-Down
If my pH is down my potassium (K+) is? -
answer-Up
,If my patient is overventilating I should choose?
- answer-Respiratory Alkalosis
If my patient is underventilating I should
choose? - answer-Respiratory Acidosis
If my patient has prolonged gastric vomiting or
suction I choose? - answer-Metabolic Alkalosis
If it is not lung or prolonged vomiting or
suctioning I choose? - answer-Metabolic
Acidosis
Kussmal Respirations - answer-Metabolic
Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what?
- answer-Allen's test. Should be positive. Pt
makes a fist and pressure is applied to the
ulnar and the radial arteries Ulnar pressure is
, released and color should return in 7 seconds
(means it's positive and OK to take ABG's).
Definition of Compensation - answer-PH is
normal! It is never compensated if it is
abnormal.
If PH normal - answer-look in the direction it is
going. Closer to Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is
abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
If your pt is acidotic and you need to pick a
symptom - answer-Pick the symptom where
everything is DOWN. ( And vice Versa)
EXAM WITH BEST ANSWERS
If water is present in the dependant loops you?
- answer-Open system and empty water.
If mucus is present you? - answer-Turn them,
cough and have them deeo breath first. If
ineffective you then suction.
Don't suction unless - answer-Coughing &
deep breathing is deemed inappropriate.
If the pH and the BiCarb are both in the same
direction then it is? - answer-Metabolc
If the pH is up it is? - answer-Alkalosis
,As the pH goes so goes my patient except for?
- answer-Potassium
If the pH is down it is? - answer-Acidosis
If the pH is up my patient with show signs and
symptoms of? - answer-Increase... like
tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs
and symtoms of? - answer-Decrease... like
decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? -
answer-Down
If my pH is down my potassium (K+) is? -
answer-Up
,If my patient is overventilating I should choose?
- answer-Respiratory Alkalosis
If my patient is underventilating I should
choose? - answer-Respiratory Acidosis
If my patient has prolonged gastric vomiting or
suction I choose? - answer-Metabolic Alkalosis
If it is not lung or prolonged vomiting or
suctioning I choose? - answer-Metabolic
Acidosis
Kussmal Respirations - answer-Metabolic
Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what?
- answer-Allen's test. Should be positive. Pt
makes a fist and pressure is applied to the
ulnar and the radial arteries Ulnar pressure is
, released and color should return in 7 seconds
(means it's positive and OK to take ABG's).
Definition of Compensation - answer-PH is
normal! It is never compensated if it is
abnormal.
If PH normal - answer-look in the direction it is
going. Closer to Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is
abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
If your pt is acidotic and you need to pick a
symptom - answer-Pick the symptom where
everything is DOWN. ( And vice Versa)
