2025 update NUR2392 Multidimensional Care II
Exam 2 |COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS WITH RATIONALES|GET IT
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Uncompensated pH and one other value is abnormal
Partial compensation pH, CO2, and HCO3 are all off
Full compensation pH is normal
reduces the excitability of cardiovascular muscle,
Acidosis
neurons, skeletal muscle, and smooth muscle.
increases the sensitivity of excitable tissues allowing
Alkalosis
them to OVERRESPOND without stimulation
- Assess cardiovascular w/ acidosis (cardiac arrest
from hyperkalemia)
ABG considerations
- Assess neuro status
- Fall precautions
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, 1/6/25, 11:56 AM 2025 update NUR2392 Multidimensional Care II Exam 2 |COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS WITH …
Bicarb HC03 kidney compensation (slow and powerful)
Respiratory PaC02 Respiratory compensation (fast but limited)
DKA, Starvation, diarrhea, kidney failure,
Metabolic acidosis dehydration, liver failure, pancreatitis, heavy
causes exercise, seizure activity, fever, hypoxia, ischemia,
ethanol/methanol intoxication
bradycardia, hypotension, thready pulse, CNS
Metabolic acidosis signs
depression, hyporeflexia, kussmal resp (with resp
and symptoms
compensation), warm, flushed, dry skin.
Metabolic acidosis hydration and medication to treat underlying
treatment problems (DKA - give insulin).
antacids, blood transfusion, sodium bicarbonate,
Metabolic alkalosis total parenteral nutrition (TPN), prolonged vomiting,
causes nasogastric suctioning, hypercortisolism,
hyperaldosteronism, Loop/Thiazide diuretics.
anxiety, irritability, tetany, seizures, POSITIVE
CHVOSTEK, POSITIVE TROUSSEAU, parathesis,
hyperreflexia, muscle cramping/twitching, skeletal
Metabolic Alkalosis s/s
muscle weakness, Tachycardia, norm/low BP,
increased Digoxin toxicity, decreased respiratory
effort (muscle weakness).
metabolic alkalosis restore fluid/electrolyte imbalances
treatment
Opioids, anesthetics, electrolyte imbalance,
Respiratory acidosis
inadequate chest expansion, muscle weakness,
cause
airway obstruction, alveolar-capillary block.
bradycardia, hypotension, thready pulse, CNS
Respiratory acidosis s/s depression, hyporeflexia, ineffective respirations,
pale-to-cyanotic dry skin.
(Assess airway) Improve gas exchange, drug
Respiratory acidosis
therapy (bronchodilators, anti-inflammatory),
treatment
oxygen therapy (lowest flow possible), ventilation.
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