Mark Klimek- Yellow Book at Columbus State Community College - StudyBlue. Rule of the B's: If the ____
and the _____ are ______ in
the same direction
... [Show More] 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
MacKussmaul
The only acid base to cause
Kussmaul respirations is Metabolic
ACidosis
Compensation only
_______ the pH
Changes
pH 7.42 _______ HCO3 19
_______
↑= compensated alkalosis ↓=
respiratory
pH 7.43 _______ HCO3 34
_______
↑= compensated alkalosis ↑=
metabolic
pH 7.39 _______ HCO3 25
_______ CO2 61 _______
Norm., norm., ↑ = CO2 problem not
acid-base problem
As the _______ goes, so
goes _______ except for
_______
_______
pH, my patient, Potassium
pH is Up
Alkalosis, Hypokalemia, HTN,
Tachycardia, Tachypnea, Seizures,
Irritability, Spastic, Diarrhea,
Borborygme, Hyperreflexia, etc
Tachy, hyper, elevated, irritable,
peaking, increase, spastic, rise
pH is Down
Acidosis, Hyperkalemia, htn,
Bradycardia, Constipation, Absent
bowel sounds, Flacid, Bradypnea
Brady, hypo, lethargic, decrease, few,
scant, suppressed
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
suctioning, pick _______.
For everything else that
isn't lung, pick _______
_______. When you don't
know what to pick, choose
_______
metabolic, prolonged(days) 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: _____
(Least invasive to most)
kinked tube-> action: unkink
water in tube-> action:empty
mucus in airway-> action: cough
and deep breathe
When the question asks for an
action use least to most invasive
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
_______
tubing (reconnect it UNLESS tube is
on the floor in which case bag them
and call RT)
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 hierarchy
of needs from 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
Used to prioritize needs
Arrange from highest to
lowest priority using
Maslow's:
Denial
Spiritual Distress
Pain in Wrist
Fall Risk
Family Dysfunction
Electrolyte Imbalance
Electrolyte Imbalance
(Physiological)
Fall Risk (Safety)
Pain in Wrist (Comfort)
Denial (Psychological)
Family Dysfunction (Social)
Spiritual Distress (Spiritual)
What are the 5 stages of
grief?
DABDA
Denial
Anger
Bargain
Depression
Acceptance
The #1 problem in abuse is
_______
denial
Denial is the _______ to
accept the _______ of their
problem
refusal, reality
Treating denial: _______ it
by pointing out to the
person the difference
between what they _______
and what they _______. In
contrast, _______ the denial
of loss and grief
confront, say, do, support
Dependency: When the
_______ gets the
Significant Other to do
things for them or make
decisions for them [Show Less]