BSMH ADVANCED ARRHYTHMIA EXAM
PREP QUESTIONS AND ANSWERS FULL
SOLUTION
●● metabolic acidosis expected cues
Answer: Confusion
Nausea/vomiting
Deep rapid breathing
Dysrhythmias/shock when severe
●● Potassium Danger during Metabolic Acidosis
Answer: K+ shifts out of cells -> Insulin correction -> K+ shifts back
into cells -> serum K+ can fall fast -> PVC's/dysrhythmias
●● metabolic alkalosis common causes
Answer: Vomiting
NG suction Diuretics
Hypokalemia
Excess antacids/bicarbonate
●● metabolic alkalosis expected cues
Answer: Tingling
,perioral numbness
tetany
muscle cramps
hypokalemia
Uwaves
PVCs
decreased GI motility
●● Respiratory acidosis common causes
Answer: COPD exacerbation
Pneumonia
Sedative overdose
Pneumothorax
Neuromuscular weakness
●● Respiratory acidosis cues
Answer: Increasing confusion
Decreased LOC
Hypoxemia
Rising PaCO₂
Hyperkalemia/dysrhythmias
, ●● Respiratory Alkalosis common causes
Answer: Anxiety/panic
Pain
Hypoxemia
Sepsis
Salicylate toxicity
Ventilator over-assist
●● Respiratory Alkalosis cues
Answer: Dizziness
inability to concentrate
perioral tingling
hand numbness
tinnitus
tachycardia
carpopedal spasm
●● pH Abnormal, one of other two values abnormal
Answer: Uncompensated
●● pH Abnormal, both other values abnormal
Answer: Partially Compensated
PREP QUESTIONS AND ANSWERS FULL
SOLUTION
●● metabolic acidosis expected cues
Answer: Confusion
Nausea/vomiting
Deep rapid breathing
Dysrhythmias/shock when severe
●● Potassium Danger during Metabolic Acidosis
Answer: K+ shifts out of cells -> Insulin correction -> K+ shifts back
into cells -> serum K+ can fall fast -> PVC's/dysrhythmias
●● metabolic alkalosis common causes
Answer: Vomiting
NG suction Diuretics
Hypokalemia
Excess antacids/bicarbonate
●● metabolic alkalosis expected cues
Answer: Tingling
,perioral numbness
tetany
muscle cramps
hypokalemia
Uwaves
PVCs
decreased GI motility
●● Respiratory acidosis common causes
Answer: COPD exacerbation
Pneumonia
Sedative overdose
Pneumothorax
Neuromuscular weakness
●● Respiratory acidosis cues
Answer: Increasing confusion
Decreased LOC
Hypoxemia
Rising PaCO₂
Hyperkalemia/dysrhythmias
, ●● Respiratory Alkalosis common causes
Answer: Anxiety/panic
Pain
Hypoxemia
Sepsis
Salicylate toxicity
Ventilator over-assist
●● Respiratory Alkalosis cues
Answer: Dizziness
inability to concentrate
perioral tingling
hand numbness
tinnitus
tachycardia
carpopedal spasm
●● pH Abnormal, one of other two values abnormal
Answer: Uncompensated
●● pH Abnormal, both other values abnormal
Answer: Partially Compensated