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:
... [Show More] 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 ▪ if meds don't work...cardioversion (synchronized shock to re-start the rhythm) ▪ if cardioversion doesn't work...ablation Nursing Interventions: A-fib RVR ▪ chest pain ▪ SOB ▪ diaphoresis ▪ N/V ▪ hypertension ▪ tachycardia ▪ jaw pain, anxiety, indig [Show Less]