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
... [Show More] 20_______
↓= acidosis; ↓= metabolic
00:03
01:17
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:
Denial
Spiritual Distress
Pain in Elbow
Fall Risk
Pathological Family Dynamics
Electrolyte Imbalance
Electrolyte Imbalance (Physiological)
Fall Risk (Safety)
Pain in Elbow (Comfort)
Denial (Psychological)
Pathological Family Dynamics (Social)
Spiritual Distress (Spiritual)
What are the 5 stages of grief?
Denial
Anger
Bargain
Depression
Acceptance [Show Less]