Mark Klimek Lecture/Yellow Book - Acid
base, vents, drug abuse, cardiac |
questions 2024 with answers
Rule |of |the |B's: |If |the |____ |and |the |_____ |are |______ |in |the |same |direction |then |it |is |
meta_____ |- |ANSWERS✔✔ |pH, |Bicarb, |Both, |Bolic
pH |7.30_______ |HCO3 |20_______ |- |ANSWERS✔✔ |↓= |acidosis; |↓= |metabolic
pH |7.58_______ |HCO3 |32_______ |- |ANSWERS✔✔ |↑= |alkalosis; |↑= |metabolic
pH |7.22_______ |HCO3 |30_______ |- |ANSWERS✔✔ |↓= |acidosis; |↑= |respiratory
You |are |providing |care |to |a |client |with |the |following |blood |gas |results: |pH |7.32, |CO2 |49, |
HCO3 |29, |PO2 |80, |and |SaO2 |90%. |Based |on |these |results, |the |client |is |experiencing: |- |
ANSWERS✔✔ |↓= |acidosis; |↑= |respiratory
MacKussmaul |- |ANSWERS✔✔ |- |Only |caused |by |Metabolic |ACidosis
- |deep |and |labored |breathing |pattern
- |DKA
As |the |_______ |goes, |so |goes |_______ |except |for |_______ |- |ANSWERS✔✔ |As |the |*pH* |goes, |
so |goes |my |*patient*, |expect |for |*potassium*
,when |pH |goes |up, |my |patient |goes.. |- |ANSWERS✔✔ |up |- |everything |gets |irritable |(except |for |
potassium)
when |pH |goes |down, |my |patient |goes... |- |ANSWERS✔✔ |down |- |body |shuts |down |(expect |for |
potassium)
Alkalosis |- |ANSWERS✔✔ |*hyokalemia*, |HTN, |Tachycardia, |Tachypnea, |Seizures |(need |
suction), |Irritability, |Diarrhea, |Borborygmi, |paroxysm |(spasm) |hyperreflexia, |diarrhea, |
vomiting, |etc
Acidosis |- |ANSWERS✔✔ |*hyperkalemia*, |heart |block, |bradycardia, |paralytic/adynamic |
ileus, |constipation, |flacid, |bradypnea, |coma, |respiratory |arrest |(need |ambu |bag), |obtunded, |
urinary |retention, |lethargy, |MACkussmaul |(met |acd. |only), |etc
Causes |of |acid |base |imbalances |are |_____ |of |the |S/S |- |ANSWERS✔✔ |opposite |
(diarrhea |(↑) |leads |to |acidosis |(↓)
Your |pt |is |in |respiratory |acidosis. |Which |S/S |would |you |expect? |Select |all |that |apply:
A. |+1 |reflexes
B. |diarhhea
C. |adynamic |ileus
D. |spasm
E. |urinary |retention
F. |tachycardia
G. |2nd |degree |mobits |type |2 |heart |block |H. |hypokalemia |- |ANSWERS✔✔ |A. |+1 |reflexes
C. |adynamic |ileus
E. |urinary |retention
, G. |2nd |degree |mobits |type |2 |heart |block
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 |
_______ |- |ANSWERS✔✔ |First |ask |yourself, |"is |it |lung?" |If |yes, |it's |*respiratory*. |
Then |ask |yourself, |"are |they |over |ventilating |or |under |ventilating?" |
Over |ventilating |= |alkalosis
Under |ventilating |= |acidosis
If |it's |lung, |it's |- |ANSWERS✔✔ |respiratory
over-ventilating |- |ANSWERS✔✔ |respiratory |alkalosis
over |= |↑
under-ventilating |- |ANSWERS✔✔ |respiratory |acidosis
under |= |↓
Examples |of |over |ventilating |(respiratory |alkalosis) |- |ANSWERS✔✔ |- |pregnant |woman |
hyperventilating
- |vent |settings |too |high
- |over |using |breathing |techniques
Examples |of |under |ventilating |(respiratory |acidosis) |- |ANSWERS✔✔ |- |emphysema |(air |
trapping |- |COPD)
