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• respiratory alkalosis -✓✓high pH, low CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
• metabolic acidosis -✓✓low pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
• respiratory acidosis -✓✓low pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
• metabolic alkalosis -✓✓high pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
• ▪ change in condition make take priority over ABCs (ex: post op
bleeding is priority over an O2 Sat% of 90%)
, ▪ pick the patient that is going to die first -✓✓Priority
questions...something to consider
• CPR, press the code button -✓✓You walk into your patient's room and
they *don't have a pulse*, what are you going to do?
• bag resuscitation, press the code button -✓✓You walk into your
patient's room and they are *not breathing but have a pulse*, what are
you going to do?
• ▪ unconscious, pulseless
▪ shock them with the AED! -✓✓If you walk into a room with a patient
that is in *ventricular fibrillation (v fib)*
▪ How will they present?
▪ What must we do to get them out of that state?
• ▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver) -✓✓If you walk into a room and a
patient is alert and oriented, speaking to you, has a pulse, but their
cardiac monitor shows they are in *ventricular tachycardia*
▪ What are you going to do?
• Supraventricular Tachycardia (SVT) -✓✓Which cardiac rhythm
requires the patient to take *adenosine*?
• ▪ they may end up with a *blood clot* because the blood is pooling in
the atria -✓✓What is our priority concern for a patient in *atrial
fibrillation (a-fib)*?
• *control RVR for patient:*
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem