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NUR 2392 / NUR2392 Exam 2 Review (Latest 2021 / 2022): Multidimensional Care II / MDC 2 - Rasmussen R254,45   Add to cart

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NUR 2392 / NUR2392 Exam 2 Review (Latest 2021 / 2022): Multidimensional Care II / MDC 2 - Rasmussen

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NUR 2392 / NUR2392 Exam 2 Review (Latest 2021 / 2022): Multidimensional Care II / MDC 2 - Rasmussen look at pH Correct Answer: What is your first step when interpreting ABGs? Respiratory acidosis Correct Answer: What acid-base imbalance would you expect to see in an asthmatic patient? *COP...

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  • July 28, 2022
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  • 2021/2022
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NUR 2392 / NUR2392 Exam 2 Review (Latest ):
Multidimensional Care II / MDC 2 - Rasmussen
look at pH Correct Answer: What is your first step when interpreting ABGs?

Respiratory acidosis Correct Answer: What acid-base imbalance would you expect to see in an
asthmatic patient?

*COPD*
*asthma*
*muscle weakness*
▪ inadequate chest expansion
▪ pneumonia
▪ pulmonary edema
▪ sleep apnea
▪ respiratory depression r/t: drugs, alcohol, anesthesia, electrolyte imbalance
▪ high ICP Correct Answer: Common causes of Respiratory Acidosis

*Vital Signs, think LOW & SLOW*
▪ bradycardia, thready weak pulses
▪ hypotension
▪ hypoxia

*Electrolyte Imbalance*
▪ hyperkalemia

*Skin*
▪ pale, cyanotic

*CNS Depression, think LOW & SLOW*
▪ lethargy
▪ confusion
▪ stupor
▪ coma
▪ headache

*Musculoskeletal, think LOW & SLOW*
▪ hyporeflexia
▪ muscle weakness
▪ flaccid paralysis

*Cardiac*
▪ heart dysrhythmias (due to hyperkalemia)
▪ increased cardiac output
▪ EKG changes - tall T waves, wide QRS, prolonged PR interval Correct Answer: S/S of Respiratory
Acidosis
(acidosis has similar s/s no matter if met. or resp.)

, *stabilize airway (patent)*
*bronchodilators*
▪ O2
▪ Pulmonary hygiene (positioning and breathing/coughing techniques)
▪ Suction PRN
▪ If on ventilation, increase ventilation rate.
▪ Endotracheal intubation

For underlying causes:
▪ Correct electrolyte balance (hyperkalemia)
▪ Antibiotics (if it's infection) Correct Answer: Treatment for Respiratory Acidosis

▪ increase respirations to increase pH Correct Answer: What does your body do to compensate for
respiratory acidosis?

▪ impaired gas exchange Correct Answer: Nursing Diagnosis for Respiratory Acidosis

respiratory acidosis Correct Answer: low pH, high CO2

metabolic acidosis Correct Answer: low pH, low HCO3

respiratory alkalosis Correct Answer: high pH, low CO2

metabolic alkalosis Correct Answer: high pH, high HCO3

Uncompensated Correct Answer: pH and one other value are abnormal.

Fully compensated Correct Answer: pH is normal, but the other 2 are abnormal.

Partially compensated Correct Answer: all 3 values are abnormal

*overproduction of hydrogen ions*
*aspirin toxicity*
▪ kidney failure, liver failure, pancreatitis
▪ diarrhea (ACI-dosis sounds like ASS)
▪ dehydration
▪ ingestion of acids: ethanol, methanol, salicylate acid
▪ lactic acidosis
▪ diabetic ketoacidosis, starvation
▪ hypermetabolism: excessive exercises, seizures, fever, hypoxia Correct Answer: Causes of Metabolic
Acidosis

*Vital Signs, think LOW & SLOW*
*Kussmaul respirations*
▪ bradycardia, thready weak pulse
▪ hypotension
▪ hypoxia

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