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Exam (elaborations)

NCLEX: MARK KLIMEK - LECTURE 1 (ACID/BASE BALANCE

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NCLEX: MARK KLIMEK - LECTURE 1 (ACID/BASE BALANCE

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Nursing 4530
Course
Nursing 4530

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NCLEX: MARK KLIMEK - LECTURE 1
(ACID/BASE BALANCE)



What11are11the11normal11pH11values?11-11answer--7.35-7.45

What11are11the11normal11CO211values?11-11answer--35-45

What11are11the11normal11HCO311values?11-11answer--22-26

If11pH11is11<7.35,11the11acid-base11imbalance11is...11-11answer--Acidic

If11pH11is11>7.35,11the11acid-base11imbalance11is...11-11answer--Alkalotic

If11the11pH11and11Bicarb11move11in11the11SAME11direction,11then11the11acid-
base11imbalance11is...11-11answer--Metabolic

If11the11pH11and11Bicarb11move11in11the11OPPOSITE11direction,11then11the11acid-
base11imbalance11is...11-11answer--Respiratory

(Example11#1)11Metabolic11or11respiratory?11pH=7.3,11HCO3=2011-11answer--
Metabolic11acidosis

(Example11#2)11Metabolic11or11respiratory?11pH=7.58,11HCO3=3211-11answer--
Metabolic11alkalosis

(Example11#3)11Metabolic11or11respiratory?11pH=7.22,11HCO3=3511-11answer--
Respiratory11acidosis

"As11the11pH11goes...11-11answer--...11so11goes11my11patient,11except11for11potassium."

If11pH11goes11over117.45,11s/s11include...11-11answer--
pH11is11up,11so11my11patient11goes11up...11except11for11potassium.

Tachycardia,11tachypnea,11HTN,11seizures,11irritability,11spastic,11diarrhea,11borborygmi
c11(increased11bowel11sounds),11hyperreflexia11(3+,114+).....11HYPOkalemia!

What11is11the11nursing11intervention11for11s/s11of11ALKALOSIS?11-11answer--
Patient11needs11suctioning11because11of11seizures.
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