Mark Klimek- Yellow Book at Columbus State Community College - StudyBlue

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 MacKussmaul The 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, acidosis Causes 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 breathe When 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 low What 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