Mark Klimek Yellow Book (KV) Pt 2
questions with answers
If |the |potassium |is |high |(5.4-5.9 |high |but |still |within |the |5's) |you? |- |ANSWERS✔✔ |Hold |
potassium |if |in |the |IVAssess |the |heartPrepare |to |give |D5W |with |insulinCall |the |doctor
If |the |potassium |is |over |6 |you? |- |ANSWERS✔✔ |Stop |what |you're |doing |and |assess. |
If |negative |effects |present |you |call |rapid |response. |
If |NO |negative |effects |you |do |the |same |as |"high |but |within |the |5's"
pH |norm? |- |ANSWERS✔✔ |7.35-7.45
If |the |pH |is |under |6 |you? |- |ANSWERS✔✔ |Assess |vital |signs
Call |doctor |ASAP
BUN |normal |range |- |ANSWERS✔✔ |8-20 |mg/dL
If |the |BUN |is |elevated |check |for? |- |ANSWERS✔✔ |dehydration
How |should |you |prioritize |labs? |- |ANSWERS✔✔ |Which |level |will |do |the |most |harm |to |the |
body |and |NOT |the |disease |it's |associated |with.
If |you |have |a |lab |thats |high |and |you |don't |know |why |pick? |- |ANSWERS✔✔ |Dehydration
Hgb |norm? |- |ANSWERS✔✔ |12-18
,Hgb |under |8 |you? |- |ANSWERS✔✔ |Assess |bleeding
Prepare |blood
Call |doctor
Elevated |hemoglobin? |- |ANSWERS✔✔ |dehydration
Bicarb |(HCO3) |norm? |- |ANSWERS✔✔ |22-26
CO2 |norm? |- |ANSWERS✔✔ |35-45
CO2 |in |the |50s |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Do |pursed |lip |breathing^ |exhale |timeDON't |give |O2 |if |the |above |isn't |working |call |the |doctor!
Severe |Acidosis |means |what? |- |ANSWERS✔✔ |Hyperkalemia! |Biggest |priority
CO2 |in |the |60's |(respiratory |failure) |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Do |pursed |lip |breathing
Prepare |for |intubation
Call |respiratory |therapy
Call |the |doctor
Hct |norm? |- |ANSWERS✔✔ |36-54
PO2 |norm? |- |ANSWERS✔✔ |78-100
PO2 |70-77 |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Give |O2
,PO2 |below |60 |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Give |O2
Prepare |for |intubation
Call |respiratory |therapy
Call |the |doctor
O2 |sat |norm? |- |ANSWERS✔✔ |93-100
O2 |sat |below |93 |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Give |O2
BNP |norm? |- |ANSWERS✔✔ |<100
BNP |is |a |good |indicator |of |what? |- |ANSWERS✔✔ |CHF
What |is |the |best |indicator |of |CHF? |- |ANSWERS✔✔ |ANF
Sodium |normal |range |- |ANSWERS✔✔ |135-145 |mmol/L
Sodium |is |ok |if |abnormal |unless |what |occurs? |- |ANSWERS✔✔ |Change |in |LOC
WBC |normal |range |- |ANSWERS✔✔ |5,000-11,000
Absolute |Neutrophil |Count |(ANC) |- |ANSWERS✔✔ |500
CD4 |norm? |- |ANSWERS✔✔ |>200 |
, (below |that=aids)
If |the |WBC |count |is |high |this |is |called? |- |ANSWERS✔✔ |Leukocytosis
If |the |WBC |is |low |it |is |called? |- |ANSWERS✔✔ |Leukopenia
Neutropenia
Agranulocytosis
Immunosupression
Bone |marrow |supression
If |the |WBC |is |low |you |should? |- |ANSWERS✔✔ |Follow |strict |handwashing
Shower |BID |with |antimicrobial |soap
Avoid |crowds
Private |room
No |fresh |flowers |or |potted |plants
Low |bacteria |diet- |no |raw |fruits/veggies, |no |undercooked |meat.
No |water |drinking |if |its |been |sitting |for |longer |then |15 |minutes.
Vitals |Q4H
Check |WBC |daily
Avoid |reusable |plates/silverware |etc,
Platelets |norm? |- |ANSWERS✔✔ |150,000-400,000
If |platelets |are |below |90,000 |you? |- |ANSWERS✔✔ |Check |for |bleeding
Place |on |bleeding |precautions |(thrombolytic |precautions)
If |platelets |are |below |40,000 |you? |- |ANSWERS✔✔ |Prepare |platelet |transfusion
questions with answers
If |the |potassium |is |high |(5.4-5.9 |high |but |still |within |the |5's) |you? |- |ANSWERS✔✔ |Hold |
potassium |if |in |the |IVAssess |the |heartPrepare |to |give |D5W |with |insulinCall |the |doctor
If |the |potassium |is |over |6 |you? |- |ANSWERS✔✔ |Stop |what |you're |doing |and |assess. |
If |negative |effects |present |you |call |rapid |response. |
If |NO |negative |effects |you |do |the |same |as |"high |but |within |the |5's"
pH |norm? |- |ANSWERS✔✔ |7.35-7.45
If |the |pH |is |under |6 |you? |- |ANSWERS✔✔ |Assess |vital |signs
Call |doctor |ASAP
BUN |normal |range |- |ANSWERS✔✔ |8-20 |mg/dL
If |the |BUN |is |elevated |check |for? |- |ANSWERS✔✔ |dehydration
How |should |you |prioritize |labs? |- |ANSWERS✔✔ |Which |level |will |do |the |most |harm |to |the |
body |and |NOT |the |disease |it's |associated |with.
If |you |have |a |lab |thats |high |and |you |don't |know |why |pick? |- |ANSWERS✔✔ |Dehydration
Hgb |norm? |- |ANSWERS✔✔ |12-18
,Hgb |under |8 |you? |- |ANSWERS✔✔ |Assess |bleeding
Prepare |blood
Call |doctor
Elevated |hemoglobin? |- |ANSWERS✔✔ |dehydration
Bicarb |(HCO3) |norm? |- |ANSWERS✔✔ |22-26
CO2 |norm? |- |ANSWERS✔✔ |35-45
CO2 |in |the |50s |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Do |pursed |lip |breathing^ |exhale |timeDON't |give |O2 |if |the |above |isn't |working |call |the |doctor!
Severe |Acidosis |means |what? |- |ANSWERS✔✔ |Hyperkalemia! |Biggest |priority
CO2 |in |the |60's |(respiratory |failure) |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Do |pursed |lip |breathing
Prepare |for |intubation
Call |respiratory |therapy
Call |the |doctor
Hct |norm? |- |ANSWERS✔✔ |36-54
PO2 |norm? |- |ANSWERS✔✔ |78-100
PO2 |70-77 |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Give |O2
,PO2 |below |60 |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Give |O2
Prepare |for |intubation
Call |respiratory |therapy
Call |the |doctor
O2 |sat |norm? |- |ANSWERS✔✔ |93-100
O2 |sat |below |93 |you? |- |ANSWERS✔✔ |Assess |respiratory |status
Give |O2
BNP |norm? |- |ANSWERS✔✔ |<100
BNP |is |a |good |indicator |of |what? |- |ANSWERS✔✔ |CHF
What |is |the |best |indicator |of |CHF? |- |ANSWERS✔✔ |ANF
Sodium |normal |range |- |ANSWERS✔✔ |135-145 |mmol/L
Sodium |is |ok |if |abnormal |unless |what |occurs? |- |ANSWERS✔✔ |Change |in |LOC
WBC |normal |range |- |ANSWERS✔✔ |5,000-11,000
Absolute |Neutrophil |Count |(ANC) |- |ANSWERS✔✔ |500
CD4 |norm? |- |ANSWERS✔✔ |>200 |
, (below |that=aids)
If |the |WBC |count |is |high |this |is |called? |- |ANSWERS✔✔ |Leukocytosis
If |the |WBC |is |low |it |is |called? |- |ANSWERS✔✔ |Leukopenia
Neutropenia
Agranulocytosis
Immunosupression
Bone |marrow |supression
If |the |WBC |is |low |you |should? |- |ANSWERS✔✔ |Follow |strict |handwashing
Shower |BID |with |antimicrobial |soap
Avoid |crowds
Private |room
No |fresh |flowers |or |potted |plants
Low |bacteria |diet- |no |raw |fruits/veggies, |no |undercooked |meat.
No |water |drinking |if |its |been |sitting |for |longer |then |15 |minutes.
Vitals |Q4H
Check |WBC |daily
Avoid |reusable |plates/silverware |etc,
Platelets |norm? |- |ANSWERS✔✔ |150,000-400,000
If |platelets |are |below |90,000 |you? |- |ANSWERS✔✔ |Check |for |bleeding
Place |on |bleeding |precautions |(thrombolytic |precautions)
If |platelets |are |below |40,000 |you? |- |ANSWERS✔✔ |Prepare |platelet |transfusion
