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Definition of Compensation
PH is normal! It is never compensated if it is abnormal.
If PH normal
look in the direction it is going. Closer to Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
If your pt is acidotic and you need to pick a symptom
Pick the symptom where everything is DOWN. ( And vice
Versa) Ex: 2 degree Morbitz Type 2 BLOCK. < Down
direction
If you don't know what causes an acid base balance, pick
Metabolic Acidosis
,If in doubt in ABGs, always pick
Headache, nausea, weakness & numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when?
They cannot push air in
High pressure alarms are caused by what three types of obstructions?
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you?
Unkink
If water is present in the dependant loops you?
Open system and empty water.
If mucus is present you?
Turn them, cough and have them deeo breath first. If ineffective you then suction.
Don't suction unless
Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear
Mucus in the lung
,Low pressure alarms are triggered when?
It is to easy to push air in.
Low pressure alarms are normally caused by?
Disconnection
If the tubing is disconnected you?
Reconnect
If O2 sensor line is disconnected you?
Reconnect
In a vented client respiratory alkalosis means the vent setting may be too?
High
In a vented client respiratory acidosis means the vent may be too?
Low
What do you do if the patients disconnected tube is on the floor?
Bag them, (call for help) get new tube and then reconnect.
First question to ask if the low pressure alarm sounds
Where is the tubing?!
, HOLD
H- High
Pressure O-
Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice
On anyone else
Make sure your answer is
PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine,
etc. PATIENT FIRST.
What does wean mean?
Decrease Gradually
What do you do if the patients disconnected tube is on the chest?
Reconnect ... if its above the waist its ok.