Physiological to Psychological: Nursing
Rationales Across Core Systems
Rule of the B's: If the and the are in the same direction then it is meta -
✔✔pH, Bicarb, Both, Bolic
pH 7.30 HCO3 20 - ✔✔↓= acidosis; ↓= metabolic
pH 7.58 HCO3 32 - ✔✔↑= alkalosis; ↑= metabolic
pH 7.22 HCO3 30 - ✔✔↓= acidosis; ↑= respiratory
You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3 29, PO2
80, and SaO2 90%. Based on these results, the client is experiencing: - ✔✔↓= acidosis; ↑= respiratory
MacKussmaul - ✔✔The only acid base to cause Kussmaul respirations is Metabolic ACidosis
As the goes, so goes except for - ✔✔pH, my patient, Potassium
Up - ✔✔hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic, Diarrhea,
Borborygme, hyperreflexia, etc
Down - ✔✔hyperkalemia, acidosis, htn, bradycardia, constipation, absent bowel sounds, flacid,
bradypnea
Causes of acid-base imbalances: First ask yourself, "Is it ?" If yes, then it's . Then ask
yourself: "Are they or . If , pick . If , pick - ✔✔lung,
respiratory, overventilating, underventilating, overventilating, alkalosis, underventilating, acidosis
, Causes of acid-base imbalances: If it's not lung, then it's . If the patient has
vomiting or suction, pick . For everything else that isn't lung, pick . When you
don't know what to pick, choose - ✔✔metabolic, prolonged gastric, alkalosis,
metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by resistance to air flow. - ✔✔increased
High pressure alarms are triggered by increased resistance to airflow and can be caused by obstructions
of three types: action, action, action - ✔✔(kinked tube) unkink, (water in
tube) empty, (mucus in airway) cough and deep breathe
Low pressure alarms are triggered by resistance to airflow. - ✔✔decreased
Low pressure alarms are triggered by decreased resistance to airflow and can be caused by
disconnections of the or - ✔✔tubing (reconnect it), oxygen sensor tube (reconnect it
UNLESS tube is on the floor- bag them and call RT if this happens)
Respiratory alkalosis means ventilator settings may be too - ✔✔high
Respiratory acidosis means ventilator settings may be too - ✔✔low
What does "wean" mean? - ✔✔gradually decrease with the goal of getting off altogether
What is Maslow's highest priority to lowest priority? - ✔✔1. Physiological
2. Safety
3. Comfort
4. Psychological (problems within the person)
5. Social (problems with other people)
6. Spiritual
Arrange from highest to lowest priority using Maslow's:
Rationales Across Core Systems
Rule of the B's: If the and the are in the same direction then it is meta -
✔✔pH, Bicarb, Both, Bolic
pH 7.30 HCO3 20 - ✔✔↓= acidosis; ↓= metabolic
pH 7.58 HCO3 32 - ✔✔↑= alkalosis; ↑= metabolic
pH 7.22 HCO3 30 - ✔✔↓= acidosis; ↑= respiratory
You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3 29, PO2
80, and SaO2 90%. Based on these results, the client is experiencing: - ✔✔↓= acidosis; ↑= respiratory
MacKussmaul - ✔✔The only acid base to cause Kussmaul respirations is Metabolic ACidosis
As the goes, so goes except for - ✔✔pH, my patient, Potassium
Up - ✔✔hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic, Diarrhea,
Borborygme, hyperreflexia, etc
Down - ✔✔hyperkalemia, acidosis, htn, bradycardia, constipation, absent bowel sounds, flacid,
bradypnea
Causes of acid-base imbalances: First ask yourself, "Is it ?" If yes, then it's . Then ask
yourself: "Are they or . If , pick . If , pick - ✔✔lung,
respiratory, overventilating, underventilating, overventilating, alkalosis, underventilating, acidosis
, Causes of acid-base imbalances: If it's not lung, then it's . If the patient has
vomiting or suction, pick . For everything else that isn't lung, pick . When you
don't know what to pick, choose - ✔✔metabolic, prolonged gastric, alkalosis,
metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by resistance to air flow. - ✔✔increased
High pressure alarms are triggered by increased resistance to airflow and can be caused by obstructions
of three types: action, action, action - ✔✔(kinked tube) unkink, (water in
tube) empty, (mucus in airway) cough and deep breathe
Low pressure alarms are triggered by resistance to airflow. - ✔✔decreased
Low pressure alarms are triggered by decreased resistance to airflow and can be caused by
disconnections of the or - ✔✔tubing (reconnect it), oxygen sensor tube (reconnect it
UNLESS tube is on the floor- bag them and call RT if this happens)
Respiratory alkalosis means ventilator settings may be too - ✔✔high
Respiratory acidosis means ventilator settings may be too - ✔✔low
What does "wean" mean? - ✔✔gradually decrease with the goal of getting off altogether
What is Maslow's highest priority to lowest priority? - ✔✔1. Physiological
2. Safety
3. Comfort
4. Psychological (problems within the person)
5. Social (problems with other people)
6. Spiritual
Arrange from highest to lowest priority using Maslow's:
