Mark Klimek Yellow Book (Kv) Study Guide With Complete Solution!!

MARK KLIMEK YELLOW BOOK (KV) STUDY GUIDE WITH
COMPLETE SOLUTION!!
If the pH and the BiCarb are both in the same direction then it is?
Answers :Metabolic
If the pH is up it is?


Answers :Alkalosis
As the pH goes so goes my patient except for?


Answers :Potassium
If the pH is down it is?


Answers :Acidosis
If the pH is up my patient with show signs and symptoms of?


Answers :Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of?


Answers :Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ?


Answers :Down
If my pH is down my potassium (K+) is?


Answers :Up
If my patient is overventilating I should choose?

,Answers :Respiratory Alkalosis
If my patient is underventilating I should choose?


Answers :Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose?


Answers :Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose?


Answers :Metabolic Acidosis
Kussmal Respirations


Answers :Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what?


Answers :Allen's test. Should be positive. Pt makes a fist and pressure is applied to
the ulnar and the radial arteries Ulnar pressure is released and color should return
in 7 seconds (means it's positive and OK to take ABG's).
Definition of Compensation


Answers :PH is normal! It is never compensated if it is abnormal.
If PH normal


Answers :look in the direction it is going. Closer to Acidic? (7.35) acidosis.

,Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
If your pt is acidotic and you need to pick a symptom


Answers :Pick the symptom where everything is DOWN. ( And vice Versa)


Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick


Answers :Metabolic Acidosis
If in doubt in ABGs, always pick


Answers :Headache, nausea, weakness & numbness+ tingling. It can be either up
or down.
High pressure alarms are triggered when?


Answers :They cannot push air in
High pressure alarms are caused by what three types of obstructions?


Answers :Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you?


Answers :Unkink
If water is present in the dependant loops you?

, Answers :Open system and empty water.
If mucus is present you?


Answers :Turn them, cough and have them deeo breath first. If ineffective you
then suction.
Don't suction unless


Answers :Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear


Answers :Mucus in the lung
Low pressure alarms are triggered when?


Answers :It is to easy to push air in.
Low pressure alarms are normally caused by?


Answers :Disconnection
If the tubing is disconnected you?


Answers :Reconnect
If O2 sensor line is disconnected you?


Answers :Reconnect
In a vented client respiratory alkalosis means the vent setting may be too?


Answers :High