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Mark Klimek Lecture outlines (nclex)

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June 15, 2024
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Mark Klimek Lecture outlines (nclex)

If the pH and the BiCarb are both in the same direction then it is? - ANS-metabolic

If the pH is up it is? - ANS-alkalosis

As the pH goes so goes my pt except for? - ANS-potassium

If the pH is down it is? - ANS-acidosis

If the pH is up my pt will show signs and symptoms of? - ANS-Increase, like
tachycardia, diarrhea and borborygmi

If the pH is down my pt will show signs and symptoms of? - ANS-Decrease, like
decreased output, bradycardia and constipation

If my pH is up my potassium (K+) is ? - ANS-down

If my pH is down my potassium (K+) is? - ANS-up

If my pt is over-ventilating I should choose? - ANS-Resp Alkalosis

If my pt is under-ventilating I should choose? - ANS-Resp Acidosis

If my pt has prolonged gastric vom or suction I choose? - ANS-Metabolic Alkalosis

If it is not lung or prolonged vomiting or suctioning I choose? - ANS-Metabolic Acidosis

Kussmal Respirations - ANS-Metabolic Acidosis ( Remember MacKussmal

Before measuring ABGs you should check what? - ANS-Allens test, should be positive.
PT makes a fist and pressure is applied to the ulnar and radial arteries. Ulnar pressure
is released and color should return in 7 sec. (means its positive and OK to take ABGs)

Definition of compensation - ANS-PH is normal! It is never compensated if it is
abnormal.

If pH is normal - ANS-Look in the direction it is going. Closer to Acidic? (7.35) acidosis.
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