Mark Klimek Lecture Notes with Complete Solutions(SCORED A+)

As the ph goes.... so does my pt (except for POTASSIUM) - ANSWER--ph up s/sx: excitability, tachycardia, tachypnea, hyperreflexia, restlessness, irratability, seizures -ph down s/sx: opposity what is the rule for deciding which ABG for an unknown condition - ANSWER--if it isn't respiratory/lungs, vomiting/diarrea, or suctioning... it is probably metabolic acidosis -s/sx: kussmauls -ex: dehydration, acute renal failure etc. which ABG for pt w n/v/d and/or suctioning - ANSWER-metabolic alkalosis ventilator: high pressure alarms vs low pressure alarms - ANSWER--high: increased resistence caused by obstructions (check for kinks, water in tube, or mucus in airway (TCDB, then suction if not working)) -low: decreased resistence caused by disconnections (reconnect) Respiratory acidosis vs alkalosis w ventilators - ANSWER--acidosis: too much CO2 so you are underventilating and need to turn up -alkalosis: too much O2 so you are overventilating and they may be read to wean off ventilator Wernicke's (korsakoff's) syndrome - ANSWER-psychosis induced by vitamin B1 (thiamine) defiecinecy -happens w alcoholism -s/sx: amnesia (memory loss) and confabulation (making up stuff) -preventable (give V B1), can stop it from getting worse, irreversible Antabuse/Revia - ANSWER--aversion (strong hatred for) therapy -takes 2 weeks to become effective, and 2 weeks till they can drink alchol safely -avoid all forms: includeing perfume, aftershave, mouthwash Alcohol withdrawal syndrome (AWD) vs Delirium Tremens (DT) - ANSWER--only some get DT and it can kill you -AWD will happen before DT -AWD: reg diet, no restraints, up at liberty -Pulse rate is good indicator of whether or not pt needs more sedation -DT: NPO (risk for aspiration), bedrest, private room near nurse station, usually 2 point or vest) -both: give ant HTN meds, tranquilizers, multivitamin (B1) to prevent wernicke's abused drugs: UPPERS - ANSWER--Caffeine, cocaine, PCP/LSD, methamphetamines, amphetamiine aspartate monohydrate (Adderal), methylphenadate (ritalin) -overdose: upper s/sx Mark Klimek Lecture Notes with Complete Solutions(SCORED A+)