NUR 197 - Patho and Psych Study Guide.

NUR 197 - Patho and Psych Study Guide/NUR 197 - Patho and Psych Study Guide. Learn how to interpret arterial blood gas value: Rule of the Bs: “If the pH and the Bicarb are BOTH in the SAME DIRECTION, then it is metaBOLIC” BICARB VALUE: 22-26 PH: 7.35-7.45 Examples pH: 7.23 paO2: 72 BiCarb: 20 PaCO2: 40 --- Metabolic Acidosis pH: 7.66 pa02: 73 Bicarb 24 PaCO2: 49 --- Respiratory Alkalosis ***Compensated means the pH would be normal… Uncompensated means the pH would be abnormal!!! “As the pH goes, so does my patient, EXCEPT for POTASSIUM” So, if the pH goes down, the patient will go down as well – Sx that are seen are paralytic ileus, lethargy, bradycardia, bradypnea, hypoactive bowel sounds, flaccid, respiratory arrest, anorexia, hypotension… the patient will have HYPERKALEMIA If the pH goes up, the patient will go up as well – Sx that are seen: seizures, tachycardia, tachypnea, hypertension, hyperreflexia, spastic, tremors, irritability, diarrhea, borborygmy, tetany … Patient will have HYPOKALEMIA