RNSG 2343 Critical Care HESI notes

Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2 50, anD HCO3 24. What does the patient have? • Resp. Acidosis *Remember: If the CO2 is high it will always be resp. acidosis 2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is in SVT. What is the nursing intervention? • Coach client in relaxation and deep breathing. 3). This is an insulin PROTOCOL question. You will be given a protocol that you need to follow by the MD. The pt insulin is infused at 5 units/hr and her current glucose reading is 165. What should you do? • Increase drip by 1 unit/hour 4). Calculate question. The number will be 1,500,000 IU, in 500mL of 0.9% NS. • 33 5). DKA math question • 1,000mL NS with 30 Meq of Sodium 6). Older client comes in with CAP and SpO2 89%. What is the priority intervention? • Assist client with turning, coughing, and deep breat