Mark Klimek Lecture Outlines 2024 Top-Graded STUDY GUIDE

If the pH and the BiCarb are both in the same direction then it is? - Metabolic If the pH is up it is? - Alkalosis If the pH is down it is? - Acidosis As the pH goes so goes my patient except for? - Potassium If the pH is up my patient with show signs and symptoms of? - Increase... like tachycardia,diarrhea and borborygmi If the pH is down my patient will show signs and symtoms of? - Decrease... like decreased output, bradycardia and constipation If my pH is up my potassium (K+) is ? - Down If my pH is down my potassium (K+) is? - Up If my patient is overventilating I should choose? - Respiratory Alkalosis If my patient is underventilating I should choose? - Respiratory Acidosis If my patient has prolonged gastric vomiting or suction I choose? - Metabolic Alkalosis If it is not lung or prolonged vomiting or suctioning I choose? - Metabolic Acidosis High pressure alarms are triggered when? - They cannot push air in High pressure alarms are caused by what three types of obstructions? - Kinking, Water in dependant loops and mucus in the airway. If kinking in the tube is present you? - Unkink If water is present in the dependant loops you? - Open system and empty water. If mucus is present you? - Turn them, cough and have them deeo breath first. If ineffective you then suction. Low pressure alarms are triggered when? - It is to easy to push air in. Low pressure alarms are normally caused by? - Disconnection If the tubing is disconnected you? - Reconnect If O2 sensor line is disconnected you? - Reconnect In a vented client respiratory alkalosis means the vent setting may be too? - High In a vented client respiratory acidosis means the vent may be too? - Low What do you do if the patients disconnected tube is on the floor? - Bag them, (call for help) get new tube and then reconnect. What do you do if the patients disconnected tube is on the chest? - Reconnect ... if its above the waist its ok. What is the biggest problem in abuse? - Denial To treat denial you need to? - Confront How do you confront? - Point out the difference between what they say and what they do. What is the one circumstance that you as a nurse would support denial? - Loss and Grief What is dependency? - When the abuser gets a significant other so make decisions for them or do thing for them. What is codependency? - When the significant other gets positive self esteem from doing things or making decisions for an abuser. To treat dependency/codependency you ? - Set limits and enforce them. You also need to work or the self estreem of the codependent. What is manipulation? - When the abuser gets the significant other fo do things for them that is not in the best interest of the significant other. This can be dangerous and harmful to the significant other. How do you treat manipulation? - Set limits and enforce. Why is manipulation easier to treat then dependency/codependency? - Because no one likes being manipulated. What is Wernickes (Korsakoffs) Syndrome? - Psychosis induced by vitamin B1 (Thiamine) deficiency. Vitamin B1 helps breakdown? - Alcohol Primary symptom of Wernickes? - Amnesia with confabulation (making up stories). Is Wernickes preventable? - Yes Is Wernickes arrestable? - Yes Is Wernickes reversible? - No What is aversion therapy? - When you try and make the patient hate something. Antabuse onset and duration is? - 2 weeks Teach a patient taking Antabuse to avoid what? - Alochol On top of alcohol a patient taking Antabuse should also avoid what other 7 things? - Elixirs, Vanilla Extract, Aftershave/Perfumes, Alcohol based hand sanitizer, Insect repellant, Mouthwash and Vinagerette. What are the five uppers? - Caffeine, Cocaine, Methamphetamines, PCP/LSD and ADHD Meds Downers are? - Everything other then the five uppers. S/S of upper use? - Everything goes up...Tachycardia, increased BP etc. S/S of downer use? - Everything goes down...Bradycardia, decreased BP etc. Overdose of a downer causes everything to go? - Down Overdose of an upper causes everything to go? - Up Withdrawal of an upper causes everything to go? - Down Withdrawal of a downer causes everything to go? - Up At birth if the mother was addicted to a substance always assume the newborn is in? - Intoxication If 24 hours after birth assume the baby is in? - Withdrawal Every alcoholic goes through what withing 24 hours after cessation? - Withdrawal syndrome