Nclex Review Prep
Question Answer
IF THE PH AND THE
BICARB ARE BOTH
IN THE SAME
DIRECTION THEN
IT IS?
METABOLIC EX. pH 7.30 AND
HCO3 IS 20 THIS IS
METABOLIC ACIDOSIS
BECAUSE THEY ARE BOW
GOIN DOWN. ITS ACIDOSI
...
Nclex Review Prep
Question Answer
IF THE PH AND THE
BICARB ARE BOTH
IN THE SAME
DIRECTION THEN
IT IS?
METABOLIC EX. pH 7.30 AND
HCO3 IS 20 THIS IS
METABOLIC ACIDOSIS
BECAUSE THEY ARE BOW
GOIN DOWN. ITS ACIDOSIS
WHEN WHEN THE pH IS LOW
AND ALKALOSIS WHEN THE
pH IS HIGH.
WHAT ARE THE
SIGNS AND
SYMPTOMS OF
ACID-BASE
IMBALANCE?
RULE IS: AS THE pH GOES,
SO DOES MY PATIENT
EXCEPT FOR POTASSIUM.
EX. IF THE pH IS UP THE
PATIENT IS UP EXCEPT FOR
POTASSIUM
IS MAC
KUSSMAULS
METABOLIC OR
RESPIRATORY AND
IS IT ALKALOSIS
OR ACIDOSIS?
IT IS METABOLIC ACIDOSIS
CAUSES OF ACIDBASE
UNDERVENTILATING--PICK
RESPIRATORY
IMBALANCE..IF IT
IS LUNG AS
YOURSELF ARE
THEY OVER OR
UNDERVENTILATIN
G? iF OVER
VENTILATING IT
IS? IF THEY ARE
OVER
VENTILATING IT
IS?
ACIDOSIS(PNEUMONIA-PCA
PUMP TO MUCH)
OVERVENTILATING-PICK
RESPIRATORY
ALKALOSIS(ANXIETY) GO
WITH THE O2 SAT ON THIS...
CAUSE OF ACIDBASE
IMBALANCE..IF IT
IS NOT LUNG THEN
IT IS? IF THE
PATIENT HAS
PROLONGED
GASTRIC SUCTION
OR VOMITING
PICK? FOR
EVERYTHING ELSE
PICK?
METABOLIC---METABOLIC
ALKALOSIS(LOOSING ACID)
METABOLIC ACIDOSIS---
WHENEVER YOU HAVE NO
CLUE PICK METABOLIC
ACIDOSIS
THE # 1 PROBLEM
IN ABUSE IS? DENIAL
WHAT IS
DEPENDENCY?
WHEN THE ABUSER GETS
THE SIGNIFICANT OTHER
TO DO THINGS FOR THEM
OR MAKE DECISIONS FOR
THEM
WHAT IS
CODEPENDENCY?
WHEN THE SIGNIFICANT
OTHER DERIVES POSITIVE
SELF-ESTEEM FROM DOIN
THINGS FOR OR MAKING
DECISIONS FOR THE
ABUSER
HOW DO U TREAT
DEPENDENCY /
CODEPENDENCY?
1. SET LIMITS AND ENFORCE
THEM. AGREE IN ADVANCE
ON WHAT REQUESTS ARE
ALLOWED, THEN ENFORCE
THE AGREEMENT. 2. WORK
ON THE SELF-ESTEEM ON
THE CODEPENDENT
PERSON. 3. MANIPULATION
WHAT IS
WERNICKE'S
(KORSAKOFF'S)
SYNDROME?
PSYCHOSIS INDUCED BY
VITAMIN B1 (THIAMINE)
DEFICIENCY.
WHAT IS THE
PRIMARY
SYMPTOM OF
WERNICKE'S
(KORSAKOFF'S)
SYNDROME?
AMNESIA WITH
CONFABULATION (MEMORY
LOSS AND MAKING UP
STORIES BECAUSE THEY
CANT REMEMBER)
WHAT ARE THE
CHARACTERISITICS
OF WERNICKE'S
SYNDROME?
A. PREVENTABLE TAKE B1
VITAMIN B. ARRESTABLE
STOP IT FROM GETTING
WORSE BY TAKING B1 3.
IRREVERSIBLE BRAIN
CELLS ARE DEAD
WHAT DO THEY
GIVE IN
WERNICKE'S
SYNDROME?
ANTABUSE / REVIA
WHAT IS THE
ONSET AND
DURATION OF
ANTABUSE /
REVIA?
2 WEEKS
WHAT IS THE
PATIENT
TEACHING FOR
ANTABUSE /
REVIA?
AVOID ALL FORMS OF
ALCOHOL TO AVOID
NAUSEA, VOMITING, AND
POSSIBLE DEATH. EX
MOUTHWASH, PERFUMES,
COLOGNES, AFTERSHAVES,
ANY OTC THAT SAYS
ELIXIR, INSECT
REPELLANTS, VANILLA
EXTRACT, VINIGERETTES,
ALCOHOL BASED HAND
SANITIZERS
WHAT ARE THE
SIGNS AND
SYMPTOMS OF
UPPERS?
EVERYTHING GOES UP. EX
HR, RR
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