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Henry Ford College| Mark Klimek's Audio Notes| NURSING 101| NCLEX REVIEW
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Henry Ford College| Mark Klimek's Audio Notes| NURSING 101| NCLEX REVIEW|All the information you need. Clear and Concise.
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Mark Klimek Audio Notes 1Acid Base ABG’s
As pH goes, so does my Pt! Except for K
pH ↓ Pt goes ↓ (HR, RR, all vitals) K goes ↑
pH ↑ Pt goes ↑ K goes ↓
Except for K – it does the opposite
pH ↑ : Alkalosis
• Seizures, hyperactivity, borborgemy (↑BS)
Kausmal breathing = MacKausamal (Metabolic Acidosis breathing)
Lung: Respiratory
Everything else: Metabolic
When you don’t know: it’s probably metabolic acidosis (It’s super common)
Ventilators
High Pressure Alarm
• Obstructed airflow
• Having to use too much pressure
• Kinks, water collection in tube, mucous
• Turn, cough, deep breathe
Low Pressure Alarm
• ↓ Resistance – machine finding job too easy
• Disconnected tube
• 02 sensor disconnected
,Mark Klimek Audio Notes 2
If tube goes lower than pt level – contaminated
Amino Glycosides
A Mean Old Mycin
Amino Glycosides only treat Mean old Infections!
True mean old Mycins don’t have “Thro”
If it has “Thro” – Thro it away!
• Ex: Zithromycin
Mean Old Mycins destroy ears (ototoxicity) and kidneys (nephrotoxicity)
• Must check Creatinine for Nephrotoxicity – NOT urine output
8 Toxic to Cranial nerve 8 give q8h
Mean Old Mycins do NOT get absorbed – they go in and out and sterilize/clean
PO Mean Old Mycins are for bowel sterilizing
• NeoMYCIN
• KanoMYCIN
Who can sterilize my bowel?? NEO KAN!
Drawing TAP Levels (Peak and Trough)
For drugs that have a narrow therapeutic level and are toxic
, Mark Klimek Audio Notes 3
Route determines TAP – Not the drug
TROUGH PEAK
IV 30 MIN BEFORE NEXT DOSE IV 15-30 min after its done
IM 30 MIN BEFORE NEXT DOSE IM 30-60 min after its given
SUB Q 30 MIN BEFORE NEXT DOSE Subling 5-10 min after its in the system
PO 30 MIN BEFORE NEXT DOSE
Heart Rhythms
Ca Channel Blockers are chill pills for the heart
• They end in DEPIM or ZEM
Rhythms
Asystole: No QRS – Lethal
Flutter: Sawtooth
Afib: Chaotic with QRS pattern
Vfib: Chaotic without QRS pattern – Lethal
Vent tachy: Wide bizarre QRS
SVT: Narrow QRS
PVC: random rhythm change – only concerned if > 6 or 6 in a row
Change in rhythm: check pulse or BP for cardiac output
Treat ventriculars with lidocaine
• V→L
Treat SVT (it’s actually an atrial)
A denosine – puts you in asystole for 20 seconds
B eta bockers – all end it “lol”
C a channel blockers
D igitalis
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