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NUR2392 MULTIDIMENSIONAL CARE II EXAM 2 WITH VERIFIED QUESTIONS AND CORRECT ANSWERS GRADED A+ $20.99   Add to cart

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NUR2392 MULTIDIMENSIONAL CARE II EXAM 2 WITH VERIFIED QUESTIONS AND CORRECT ANSWERS GRADED A+

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NUR2392 MULTIDIMENSIONAL CARE II EXAM 2 WITH VERIFIED QUESTIONS AND CORRECT ANSWERS GRADED A+ Uncompensated - ANS-pH and one other value is abnormal Partial compensation - ANS-pH, CO2, and HCO3 are all off Full compensation - ANS-pH is normal Acidosis - ANS-reduces the excitability of cardi...

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  • July 17, 2024
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NUR2392 MULTIDIMENSIONAL CARE II
EXAM 2 WITH VERIFIED QUESTIONS
AND CORRECT ANSWERS GRADED A+




Uncompensated - ANS-pH and one other value is abnormal



Partial compensation - ANS-pH, CO2, and HCO3 are all off



Full compensation - ANS-pH is normal



Acidosis - ANS-reduces the excitability of cardiovascular muscle, neurons, skeletal muscle, and smooth
muscle.



Alkalosis - ANS-increases the sensitivity of excitable tissues allowing them to OVERRESPOND without
stimulation



ABG considerations - ANS-- Assess cardiovascular w/ acidosis (cardiac arrest from hyperkalemia)

- Assess neuro status

- Fall precautions

, Bicarb HC03 - ANS-kidney compensation (slow and powerful)



Respiratory PaC02 - ANS-Respiratory compensation (fast but limited)



Metabolic acidosis causes - ANS-DKA, Starvation, diarrhea, kidney failure, dehydration, liver failure,
pancreatitis, heavy exercise, seizure activity, fever, hypoxia, ischemia, ethanol/methanol intoxication



Metabolic acidosis signs and symptoms - ANS-bradycardia, hypotension, thready pulse, CNS depression,
hyporeflexia, kussmal resp (with resp compensation), warm, flushed, dry skin.



Metabolic acidosis treatment - ANS-hydration and medication to treat underlying problems (DKA - give
insulin).



Metabolic alkalosis causes - ANS-antacids, blood transfusion, sodium bicarbonate, total parenteral
nutrition (TPN), prolonged vomiting, nasogastric suctioning, hypercortisolism, hyperaldosteronism,
Loop/Thiazide diuretics.



Metabolic Alkalosis s/s - ANS-anxiety, irritability, tetany, seizures, POSITIVE CHVOSTEK, POSITIVE
TROUSSEAU, parathesis, hyperreflexia, muscle cramping/twitching, skeletal muscle weakness,
Tachycardia, norm/low BP, increased Digoxin toxicity, decreased respiratory effort (muscle weakness).



metabolic alkalosis treatment - ANS-restore fluid/electrolyte imbalances



Respiratory acidosis cause - ANS-Opioids, anesthetics, electrolyte imbalance, inadequate chest
expansion, muscle weakness, airway obstruction, alveolar-capillary block.



Respiratory acidosis s/s - ANS-bradycardia, hypotension, thready pulse, CNS depression, hyporeflexia,
ineffective respirations, pale-to-cyanotic dry skin.



Respiratory acidosis treatment - ANS-(Assess airway) Improve gas exchange, drug therapy
(bronchodilators, anti-inflammatory), oxygen therapy (lowest flow possible), ventilation.

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