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Nur2392 Multidimensional Care II Exam Questions And Answers
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Nur2392 Multidimensional Care II Exam Questions And Answers
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Nur2392 Multidimensional Care II ExamQuestions And Answers
Uncompensated - ANS ✔✔✔pH and one other
value is abnormal
Partial compensation - ANS ✔✔✔pH, CO2, and
HCO3 are all off
Full compensation - ANS ✔✔✔pH is normal
Acidosis - ANS ✔✔✔reduces the excitability of
cardiovascular muscle, neurons, skeletal
muscle, and smooth muscle.
Alkalosis - ANS ✔✔✔increases the sensitivity
of excitable tissues allowing them to
OVERRESPOND without stimulation
,ABG considerations - ANS ✔✔✔- Assess
cardiovascular w/ acidosis (cardiac arrest from
hyperkalemia)
- Assess neuro status
- Fall precautions
Bicarb HC03 - ANS ✔✔✔kidney compensation
(slow and powerful)
Respiratory PaC02 - ANS ✔✔✔Respiratory
compensation (fast but limited)
Metabolic acidosis causes - ANS ✔✔✔DKA,
Starvation, diarrhea, kidney failure, dehydration,
liver failure, pancreatitis, heavy exercise,
seizure activity, fever, hypoxia, ischemia,
ethanol/methanol intoxication
, Metabolic acidosis signs and symptoms - ANS
✔✔✔bradycardia, hypotension, thready pulse,
CNS depression, hyporeflexia, kussmal resp
(with resp compensation), warm, flushed, dry
skin.
Metabolic acidosis treatment - ANS
✔✔✔hydration and medication to treat
underlying problems (DKA - give insulin).
Metabolic alkalosis causes - ANS
✔✔✔antacids, blood transfusion, sodium
bicarbonate, total parenteral nutrition (TPN),
prolonged vomiting, nasogastric suctioning,
hypercortisolism, hyperaldosteronism,
Loop/Thiazide diuretics.
Metabolic Alkalosis s/s - ANS ✔✔✔anxiety,
irritability, tetany, seizures, POSITIVE
CHVOSTEK, POSITIVE TROUSSEAU,
parathesis, hyperreflexia, muscle
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