Nursing 4530 (NURSING4530)

Lecture 1— Acid-Base Balance Dumping/HH Ventilators Electrolytes: K+, CA, MG, and NA Lecture 2— Alcohol TX for HyperKalemia Wernicke Overdose and Withdrawal Lecture 7— Thyroid (Hyper-, Hypo-) S/Sx Adrenal Cortex (Addison Aminoglycosides Disease, Cushing) Peak and Trough Toys Laminectomy Lecture 3— Drug Toxicities (Lithium, Lanoxin, Dilantin, Bilirubin, Lecture 8— Lab Values Aminophylline) Five Deadly Ds Kernicterus Neutropenic Precaution Dumping/HH Electrolytes: K+, CA, ...

Acid-base balance/ventilators Rule of the B’s.. If the pH & the bicarb are both in the same direction = metabolic If they are in different directions = respiratory pH = 7.35-7.45 acidosis/alkalosis HCO3 (bicarb) = 22-26 (2+2+2 = 6) CO2 = 45-35 ex: pH: 7.30 = ↓ bicarb: 20 = ↓ = metabolic acidosis ex: pH: 7.58 =↑ bicarb: 32 = ↑ = metabolic alkalosis ex: pH: 7.22 =↓ bicarb: 30 =↑ = respiratory acidosis ex: You are providing care to a client with the following blood gas...

LECTURE 1: Acid Base Balance & Ventilator Interpreting Blood Gases (remember the rules of the B’s)  If the pH and the bicarb are both in the same direction then it’s metaBolic (Bicarb Both Bolic), if they are in different directions then it is respiratory  If bicarb is normal and the pH is low or high then its respiratory  You will be given 8 values for arterial blood gas, always first look at the pH and the bicarb first  You get acidosis and alkalosis from the pH LABS: ...

KEEP CALM and PASS NCLEX with MARK KLIMEK Review. Comprehensive Information and content for REVISION and last minute EXAM READING. 1. Acid-base balance/ventilators Rule of the B’s.. If the pH & the bicarb are both in the same direction = meta bolic If they are in different directions = respiratory pH = 7.35-7.45 acidosis/alkalosis HCO3 (bicarb) = 22-26 (2+2+2 = 6) CO2 = 45-35 ex: pH: 7.30 = bicarb: 20 = = metabolic acidosis ex: pH: 7.58 = bicarb: 32 = = metabolic alkalosis ex: p...

KEEP CALM and PASS NCLEX with MARK KLIMEK Review. Comprehensive Information and content for REVISION and last minute EXAM READING. 1. Acid-base balance/ventilators Rule of the B’s.. If the pH & the bicarb are both in the same direction = meta bolic If they are in different directions = respiratory pH = 7.35-7.45 acidosis/alkalosis HCO3 (bicarb) = 22-26 (2+2+2 = 6) CO2 = 45-35 ex: pH: 7.30 = bicarb: 20 = = metabolic acidosis ex: pH: 7.58 = bicarb: 32 = = metabolic alkalosis ex: ...

KEEP CALM and PASS NCLEX with MARK KLIMEK Review. Comprehensive Information and content for REVISION and last minute EXAM READING. 1. Acid-base balance/ventilators Rule of the B’s.. If the pH & the bicarb are both in the same direction = meta bolic If they are in different directions = respiratory pH = 7.35-7.45 acidosis/alkalosis HCO3 (bicarb) = 22-26 (2+2+2 = 6) CO2 = 45-35 ex: pH: 7.30 = bicarb: 20 = = metabolic acidosis ex: pH: 7.58 = bicarb: 32 = = metabolic alkalosis ex: p...

(Nursing 4530) Mark Klimek Notes – Lecture Notes 1. How to guess 1. Use knowledge 2. Common sense 3. Guessing strategy Psych  Nurse will examine own feeling about something-so do not counter transfer  Establish trust relationship Nutrition  Pick chicken not fried chicken  Fish but not shellfish  Never pick casseroles for kids  Never mix meds in food  Toddlers-finger foods  Preschool-one meal a day is OK. Leave them alone 3 expectations to have  Do not ...

(Nursing 4530) Mark Klimek Lec ture Notes Lecture 1: Acid Base Balance & Ventilator. 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 _______ CO 2 61 _______ Norm., norm., ↑ = CO2 problem not acid-base problem As the _______ goes, so goes __...

Mark Klimek Notes – Lecture Notes 1. Nurse will examine own feeling about something-so do not counter transfer  Establish trust relationship Nutrition  Pick chicken not fried chicken  Fish but not shellfish  Never pick casseroles for kids  Never mix meds in food  Toddlers-finger foods  Preschool-one meal a day is OK. Leave them alone 3 expectations to have  Do not expect 75 questions-think 265  Do not expect to know everything  Do not expect everything...

Mark Klimek Lec ture Notes Lecture 1: Acid Base Balance & Ventilator. 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 ...