Mark Klimek Yellow Book
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NCLEX Questions Dementia and Alzheimer's Care: Key... Clinical Nursing Compr
11 terms 60 terms 60 terms 59 terms
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If the pH and the BiCarb are both in the same direction Metabolc
then it is?
If the pH is up it is? Alkalosis
As the pH goes so goes my patient except for? Potassium
If the pH is down it is? Acidosis
If the pH is up my patient with show signs and symptoms Increase... like tachycardia,diarrhea and borborygmi
of?
If the pH is down my patient will show signs and symtoms Decrease... like decreased output, bradycardia and constipation
of?
If my pH is up my potassium (K+) is ? Down
If my pH is down my potassium (K+) is? Up
If my patient is overventilating I should choose? Respiratory Alkalosis
If my patient is underventilating I should choose? Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I Metabolic Alkalosis
choose?
If it is not lung or prolonged vomiting or suctioning I Metabolic Acidosis
choose?
Kussmal Respirations Metabolic Acidosis ( Remember MacKussmal
, Before measuing ABGs you should check what? 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 PH is normal! It is never compensated if it is abnormal.
If PH normal 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 Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick Metabolic Acidosis
If in doubt in ABGs, always pick Headache, nausea, weakness & numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? They cannot push air in
High pressure alarms are caused by what three types of Kinking, Water in dependant loops and mucus in the airway.
obstructions?
If kinking in the tube is present you? Unkink
If water is present in the dependant loops you? Open system and empty water.
If mucus is present you? Turn them, cough and have them deeo breath first. If ineffective you then suction.
Don't suction unless Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear Mucus in the lung
Low pressure alarms are triggered when? It is to easy to push air in.
Low pressure alarms are normally caused by? Disconnection
If the tubing is disconnected you? Reconnect
If O2 sensor line is disconnected you? Reconnect
In a vented client respiratory alkalosis means the vent High
setting may be too?
In a vented client respiratory acidosis means the vent may Low
be too?
Save
Students also studied
NCLEX Questions Dementia and Alzheimer's Care: Key... Clinical Nursing Compr
11 terms 60 terms 60 terms 59 terms
bostonkn Preview mattkot2399 Preview avarendlv08 Preview kee
If the pH and the BiCarb are both in the same direction Metabolc
then it is?
If the pH is up it is? Alkalosis
As the pH goes so goes my patient except for? Potassium
If the pH is down it is? Acidosis
If the pH is up my patient with show signs and symptoms Increase... like tachycardia,diarrhea and borborygmi
of?
If the pH is down my patient will show signs and symtoms Decrease... like decreased output, bradycardia and constipation
of?
If my pH is up my potassium (K+) is ? Down
If my pH is down my potassium (K+) is? Up
If my patient is overventilating I should choose? Respiratory Alkalosis
If my patient is underventilating I should choose? Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I Metabolic Alkalosis
choose?
If it is not lung or prolonged vomiting or suctioning I Metabolic Acidosis
choose?
Kussmal Respirations Metabolic Acidosis ( Remember MacKussmal
, Before measuing ABGs you should check what? 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 PH is normal! It is never compensated if it is abnormal.
If PH normal 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 Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick Metabolic Acidosis
If in doubt in ABGs, always pick Headache, nausea, weakness & numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? They cannot push air in
High pressure alarms are caused by what three types of Kinking, Water in dependant loops and mucus in the airway.
obstructions?
If kinking in the tube is present you? Unkink
If water is present in the dependant loops you? Open system and empty water.
If mucus is present you? Turn them, cough and have them deeo breath first. If ineffective you then suction.
Don't suction unless Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear Mucus in the lung
Low pressure alarms are triggered when? It is to easy to push air in.
Low pressure alarms are normally caused by? Disconnection
If the tubing is disconnected you? Reconnect
If O2 sensor line is disconnected you? Reconnect
In a vented client respiratory alkalosis means the vent High
setting may be too?
In a vented client respiratory acidosis means the vent may Low
be too?
