NCLEX QUICK REVIEW MARK KLIMEK STUDY GUIDE

Document Content and Description Below

Acid Base As the ph goes the patient goes and except for potassium pH goes up potassium goes down pH goes down potassium goes up pH up(alkalosis)… Hyper, tachy, increased, elevated, exaggerated,... increasing, excessive. Irritability, diarrhea, borborygmi= increased bowel sounds. pH down(acidosis)… hypo, decreased, scant, absent, a-, brady, depressed, suppressed, oligo, Pt has acidosis what heart rhythm would you see- second degreeheart block Tetany- muscle spasms, hyper muscles, hyper hyper contractility Cardiac arrest- slow down MAC-Kussmal Kussmal only occurs in Metabolic ACidosis Causes of acid base imbalances: Ask yourself is it Lung? If it does= respiratory Is the client overventilating or under?? If they are over---Alkalosis… If under—acidosis. Too much PCA pump what acid base can result… depress respirations, underventilation… respiratory ACIDOSIS. Near drowning—Respiratory acidosis Acute panic anxiety- Respiratory alkalosis If it isn’t lung its metabolic.If client has PROLONGED gastric vomiting or suctioning—METABOLIC ALKALOSIS For everything else that isn’t lung pic metabolic acidosis that doesn’t have to do with suctioning or vomiting Metabolic Acidosis if we don’t know what to pick! Respiratory rate is highly unreliable use your gases, lung sounds and saturation!!! VentilatorHigh pressure alarm= increased resistance to airflow. High pressure to push through so look for OBSTRUCTION!!! 3 obstructions, DO IN THIS ORDER!! Least invasive to most! 1- Kink. - UNKINK 2- Water condensing in tubing. GET WATER OUT 3- Mucous. Suction is not best answer… TURN COUGH AND DEEP BREATHE. If that doesn’t work SUCTION! Low pressure alarm! Due to DISCONNECTIONS! 1. Main tube disconnected- 2. Oxygen Sensor line! Plug back i [Show More]

Last updated: 2 years ago

Preview 1 out of 48 pages