Mark Klimek Yellow Book Questions & Answers | Columbus State Community College

Mark Klimek- Yellow Book Ohio | Columbus State Community College | Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____ pH, Bicarb, Both, Bolic pH 7.30_______ HCO3 20__ ...

Mark Klimek- Yellow Book Ohio | Columbus State Community College | Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____ pH, Bicarb, Both, Bolic pH 7.30_______ HCO3 20_______ ↓= acidosis; ↓= metabolic pH 7.58_______ HCO3 32_______ ↑= alkalosis; ↑= metabolic pH 7.22_______ HCO3 30_______ ↓= acidosis; ↑= respiratory MacKussmaulThe only acid base to cause Kussmaul respirations is Metabolic ACidosis Compensation only _______ the pH Changes pH 7.42 _______ HCO3 19 _______ ↑= compensated alkalosis ↓= respiratory pH 7.43 _______ HCO3 34 _______ ↑= compensated alkalosis ↑= metabolic pH 7.39 _______ HCO3 25 _______ CO2 61 _______ Norm., norm., ↑ = CO2 problem not acid-base problem As the _______ goes, so goes _______ except for ______________ pH, my patient, Potassium pH is Up Alkalosis, Hypokalemia, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic, Diarrhea, Borborygme, Hyperreflexia, etc Tachy, hyper, elevated, irritable, peaking, increase, spastic, rise pH is Down Acidosis, Hyperkalemia, htn, Bradycardia, Constipation, Absent bowel sounds, Flacid, Bradypnea Brady, hypo, lethargic, decrease, few, scant, suppressed Causes of acid-base imbalances: First ask yourself, "Is it _______?" If yes, then it's _______. Then ask yourself: "Are they _______ or ______?" If _______, pick _______. If _______, pick _______ lung, respiratory, overventilating, underventilating, overventilating, alkalosis, underventilating, acidosisCauses of acid-base imbalances: If it's not lung, then it's _______. If the patient has _______ _______ vomiting or suctioning, pick _______. For everything else that isn't lung, pick _______ _______. When you don't know what to pick, choose _______ metabolic, prolonged(days) gastric, alkalosis, metabolic acidosis, metabolic acidosis High pressure alarms are triggered by _______ resistance to air flow. increased High pressure alarms are triggered by increased resistance to airflow and can be caused by obstructions of three types: _______-> action: _____, _______-> action: _____, _______-> action: _____ (Least invasive to most) kinked tube-> action: unkink water in tube-> action:empty mucus in airway-> action: cough and deep breatheWhen the question asks for an action use least to most invasive Low pressure alarms are triggered by _______ resistance to airflow. decreased Low pressure alarms are triggered by decreased resistance to airflow and can be caused by disconnections of the _______ tubing (reconnect it UNLESS tube is on the floor in which case bag them and call RT) Respiratory alkalosis means ventilator settings may be too _______ high Respiratory acidosis means ventilator settings may be too _______ lowWhat does "wean" mean? gradually decrease with the goal of getting off altogether What is Maslow's hierarchy of needs from highest priority to lowest priority? 1. Physiological 2. Safety 3. Comfort 4. Psychological (problems within the person) 5. Social (problems with other people) 6. Spiritual Used to prioritize needs Arrange from highest to lowest priority using Maslow's: Denial Spiritual Distress Pain in Wrist Fall Risk Family Dysfunction Electrolyte Imbalance Electrolyte Imbalance (Physiological) Fall Risk (Safety) Pain in Wrist (Comfort) Denial (Psychological) Family Dysfunction (Social) Spiritual Distress (Spiritual)What are the 5 stages of grief? DABDA Denial Anger Bargain Depression Acceptance The #1 problem in abuse is _______ denial Denial is the _______ to accept the _______ of their problem refusal, reality Treating denial: _______ it by pointing out to the person the difference between what they _______ and what they _______. In contrast, _______ the denial of loss and grief confront, say, do, supportDependency: When the _______ gets the Significant Other to do things for them or make decisions for them abuser (They want someone else to do life for them so they can abuse) Codependency: When the _______ _______ derives positive _______ from doing things for or making decisions for the _______ Significant Other, self-esteem, abuser When treating dependency/codependency: Set _______ and _______ them. Agree in advance on what requests are allowed, then enforce the agreement Work on the _______ of the codependent person limits, enforce self-esteem Manipulation: when the _______ gets the ______________ gets the _______ _______ to do things for him/her that are not in the _______ _______ of the _______ _______. The nature of the act is _______ or _______ to the _______ _______ abuser, significant other, interest, significant other, dangerous, harmful, significant other Treating manipulation: Set _______ and _______ them. Its easier to treat than dependency/codependency because likes being manipulated limits, enforce them Wernicke's (Korsakoff's) Syndrome: _______ induced by Vitamin _______(thiamine) deficiency Psychosis, B1 (Can't metabolize alcohol without sufficent B1) Cause of phychosis inCause of phychosis in Wernike's (Korsakoff's) is...__________________________________________ Psychosis is a form of _______. Death of brain cells due to alcohol toxicity due to Vitamin B1 deficiency, Dementia Primary symptoms of Wernicke's (Korsakoff's) Syndrome: _______ with _______. amnesia (memory loss), confabulation (making up stories to explain things because they don't remember) Characteristics of Wernicke's (Korsakoff's) Syndrome: 1. _______ 2. _______ 3. _______ preventable (supplement with B1) arrestable (can stop it from progressing) irreversible (can't go back) Antabuse (disulfiram)/Revi