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Exam (elaborations) Mark Klimek- Yellow Book (NUR123)

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Exam (elaborations) Mark Klimek- Yellow Book (NUR123) 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 20 ↓= acidosis; ↓= metabolic pH 7.58 HCO3 32 ↑= alkalosis; ↑= metabolic pH 7.22 HCO3...

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  • August 31, 2022
  • 175
  • 2020/2021
  • Exam (elaborations)
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Ohio | Columbus State Community College | Mark
Klimek- Yellow Book



Ohio | Columbus State Community Alexandria • cards
College | Mark Klimek- Yellow Book M. 543



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
20
↓= acidosis; ↓= metabolic




pH 7.58 HCO3
32
↑= alkalosis; ↑= metabolic




pH 7.22 HCO3
30
↓= acidosis; ↑= respiratory




MacKussmaul

,Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
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

,Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
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

, Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
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

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