Mark Klimek Lecture Outline NCLEX

If co worker is doing something illegal you should never ignore - Answer- tell supervisor HCO3 range - Answer- 22-26 what would you not delegate to a UAP - Answer- no charting, assessment, meds and Iv may apply topical lotions and cream, to treatment, may ADLs If the pH and the BiCarb are both in the same direction then it is? - Answer- Metabolic If the pH is up it is? - Answer- Alkalosis If the pH is down it is? - Answer- Acidosis As the pH goes so goes my patient except for? - Answer- Potassium If the pH is up my patient with show signs and symptoms of? - Answer- Increase... like tachycardia,diarrhea and borborygmi If the pH is down my patient will show signs and symtoms of? - Answer- Decrease... like decreased output, bradycardia and constipation If my pH is up my potassium (K+) is ? - Answer- Down If my pH is down my potassium (K+) is? - Answer- Up If my patient is overventilating I should choose? - Answer- Respiratory Alkalosis If my patient is underventilating I should choose? - Answer- Respiratory Acidosis If my patient has prolonged gastric vomiting or suction I choose? - Answer- Metabolic Alkalosis If it is not lung or prolonged vomiting or suctioning I choose? - Answer- Metabolic Acidosis High pressure alarms are triggered when? - Answer- build up pressure in tube High pressure alarms are caused by what three types of obstructions? - Answer- Kinking, Water in dependant loops and mucus in the airway.