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MARK KLIMEK YELLOW BOOK (KV) STUDY GUIDE WITH COMPLETE SOLUTION!!
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MARK KLIMEK YELLOW BOOK (KV) STUDY GUIDE WITH COMPLETE SOLUTION!!
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MARK KLIMEK YELLOW BOOK (KV) STUDY GUIDE WITHCOMPLETE SOLUTION!!
If the pH and the BiCarb are both in the same direction then it is?
Answers :Metabolic
If the pH is up it is?
Answers :Alkalosis
As the pH goes so goes my patient except for?
Answers :Potassium
If the pH is down it is?
Answers :Acidosis
If the pH is up my patient with show signs and symptoms of?
Answers :Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of?
Answers :Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ?
Answers :Down
If my pH is down my potassium (K+) is?
Answers :Up
If my patient is overventilating I should choose?
,Answers :Respiratory Alkalosis
If my patient is underventilating I should choose?
Answers :Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose?
Answers :Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose?
Answers :Metabolic Acidosis
Kussmal Respirations
Answers :Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what?
Answers :Allen's test. Should be positive. Pt makes a fist and pressure is applied to
the ulnar and the radial arteries Ulnar pressure is released and color should return
in 7 seconds (means it's positive and OK to take ABG's).
Definition of Compensation
Answers :PH is normal! It is never compensated if it is abnormal.
If PH normal
Answers :look in the direction it is going. Closer to Acidic? (7.35) acidosis.
,Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
If your pt is acidotic and you need to pick a symptom
Answers :Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick
Answers :Metabolic Acidosis
If in doubt in ABGs, always pick
Answers :Headache, nausea, weakness & numbness+ tingling. It can be either up
or down.
High pressure alarms are triggered when?
Answers :They cannot push air in
High pressure alarms are caused by what three types of obstructions?
Answers :Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you?
Answers :Unkink
If water is present in the dependant loops you?
, Answers :Open system and empty water.
If mucus is present you?
Answers :Turn them, cough and have them deeo breath first. If ineffective you
then suction.
Don't suction unless
Answers :Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear
Answers :Mucus in the lung
Low pressure alarms are triggered when?
Answers :It is to easy to push air in.
Low pressure alarms are normally caused by?
Answers :Disconnection
If the tubing is disconnected you?
Answers :Reconnect
If O2 sensor line is disconnected you?
Answers :Reconnect
In a vented client respiratory alkalosis means the vent setting may be too?
Answers :High
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