Acid Base ABG’s
As pH goes, so does my Pt! Except for K
pH ↓ Pt goes ↓ (HR, RR, all vitals) K goes ↑
pH ↑ Pt goes ↑ K goes ↓
Except for K – it does the opposite
pH ↑ : Alkalosis
Seizures, hyperactivity, borborgemy (↑BS)
Kussmaul breathing = MacKausamal (Metabolic Acid...
When you don’t know: it’s probably metabolic acidosis (It’s super common)
Ventilators
High Pressure Alarm
Obstructed airflow
Having to use too much pressure
Kinks, water collection in tube, mucous
Turn, cough, deep breathe
Low Pressure Alarm
↓ Resistance – machine finding job too easy
Disconnected tube
,Mark Klimek Audio Notes 2
02 sensor disconnected
If tube goes lower than pt level – contaminated
Amino Glycosides
A Mean Old Mycin
Amino Glycosides only treat Mean old Infections!
True mean old Mycins don’t have “Thro”
If it has “Thro” – Thro it away!
Ex: Zithromycin
Mean Old Mycins destroy ears (ototoxicity) and kidneys (nephrotoxicity)
Must check Creatinine for Nephrotoxicity – NOT urine output
8 Toxic to Cranial nerve 8 give q8h
Mean Old Mycins do NOT get absorbed – they go in and out and sterilize/clean
PO Mean Old Mycins are for bowel sterilizing
NeoMYCIN
KanoMYCIN
Who can sterilize my bowel?? NEO KAN!
, Mark Klimek Audio Notes 3
Drawing TAP Levels (Peak and Trough)
For drugs that have a narrow therapeutic level and are toxic
Route determines TAP – Not the drug
TROUGH PEAK
IV 30 MIN BEFORE NEXT DOSE IV 15-30 min after its done
IM 30 MIN BEFORE NEXT DOSE IM 30-60 min after its given
SUB Q 30 MIN BEFORE NEXT DOSE Subling 5-10 min after its in the system
PO 30 MIN BEFORE NEXT DOSE
Heart Rhythms
Ca Channel Blockers are chill pills for the heart
They end in DEPIM or ZEM
Rhythms
Asystole: No QRS – Lethal
Flutter: Sawtooth
Afib: Chaotic with QRS pattern
Vfib: Chaotic without QRS pattern – Lethal
Vent tachy: Wide bizarre QRS
SVT: Narrow QRS
PVC: random rhythm change – only concerned if > 6 or 6 in a row
Change in rhythm: check pulse or BP for cardiac output
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Garcia. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
