Mark K Lecture #1 Questions And Answers With Verified Study Solutions

Metabolic - When the pH and bicarb (HCO3) are in the same direction it is what? pH - 7.35-7.45 HCO3 - 22-26 PaCo2 - 45-35 acidosis/alkalosis - what is based off of the pH? the body gets more irritable/hyperexcitable - as the pH goes up, so does my patient, except for potassium the body systems start to shut down - as the pH goes down, so does my patient, except for potassium potassium goes up - when pH goes down potassium goes down - when pH goes up alkalosis signs & symptoms (things go up) - seizure irritability hyperreflexia (+3/+4) tachypnea/tachycardia borborgymi (increased bowel sounds)acidosis signs & symptoms (things go down) - coma bradycardia paralytic ileus hyporeflexia (0/+1) lethargic/obtunded seizures, have a suction at bedside - alkalosis patient's are more prone to what? coma/respiratory arrest (have ambu bag at bedside) - acidosis patient's are more prone to what? kussmaul respirations - metabolic acidosis patient's have what? is it dealing with the lungs? - respiratory is the client overventilating? - alkalosis is the client underventilating? - acidosis overventilating - respiratory alkalosis underventilating - respiratory acidosis ventilation deals with what? - gas exchange if it isn't the lungs - metabolic prolonged gastric vomiting/suctioning - metabolic alkalosis losing acid becomes alkalosisfor everything else that isn't lung choose what? - metabolic acidosis high pressure alarms - triggered by increased resistance to air flow (due to obstruction) kinks in tubing > release kinks water condesending in tube > empty water mucus buildup in airway > turn, cough, deep breathe, suction suction - as needed, if the patient cannot mobilize secretions by turning, coughing, deep breathing low pressure alarms - triggered by decrease resistance to air flow (due to disconnections) main tubing > reconnect it oxygen sensor tube > reconnect it