VATI Comp Predictor Overall Review 2
Questions And Answers
Lab dValue d- dCalcium d(Ca d)
(Serum dElectrolyte) d- dAnswer d- d8.6 d- d10.2 dmg/dL
-If da dpatient dhas dsevere dhypocalcemia, dtake dseizure dprecautions dand dassess dthe dairway. dAlso,
dmonitor dfor dtetany, dtingling dsensations din dthe dtips dof dthe dfingers dand daround dthe dmouth, dand
din dthe dfeet. dSpasms dof dthe dmuscles dof dthe dextremities dand dthe dface dmay doccur. dAlso, dbe
dalert dfor dECG dchanges dincluding da dprolonged dQT dinterval.
- dIf da dpatient dhas dhypercalcemia, dincrease dmobilization dand dencourage dsufficient doral dintake.
dTake dsafety dprecautions dif dconfusion dis dpresent dand dbe dalert dfor dsigns dof ddigitalis dtoxicity.
dAlso, dmonitor dthe dpatient's dcardiac drate dand drhythm.
Lab dValue d- dChloride d(Cl d)
(Serum dElectrolyte) d- dAnswer d- d97 d- d107 dmEq/L
-Monitor dthe dpatient dwith dhypochloremia dfor dmuscle dspasms, dalkalosis, dand ddepressed
drespirations.
-Monitor dthe dpatient dwith dhyperchloremia dfor dacidosis.
Lab dValue d- dMagnesium d(Mg d)
(Serum dElectrolyte) d- dAnswer d- d1.3 d- d2.3 dmEq/L
-Hypomagnesemia dcan dpredispose da dpatient dto ddigitalis dtoxicity dor dcardiac darrhthymias. dTake
dseizure dprecautions dif dnecessary, dand dmonitor dfor dlaryngeal dstridor.
,-If dhypermagnesemia dis dpresent, dbe dalert dfor dhypotension dand dshallow drespirations, dlethargy,
ddrowsiness, dand dcoma. dDon't dgive dmagnesium dcontaining dmedications dto dpatient dwith drenal
dfailure dor dcompromised drenal dfunction. dCheck ddeep dtendon drelfexes dfrequently.
Lab dValue d- dPhosphate d(PO d)
(Serum dElectrolyte) d- dAnswer d- d2.5 d- d4.5 dmg/dL
-Patients dwith dsevere dhypophosphatemia dare dat dgreater drisk dfor dinfection. dAdmin dIV dphosphate
dproducts dcautiously dand dgive dTPN dcautiously din dmalnourished dpatients. dMonitor dfor ddiarrhea
dwhen dtaking doral dsupplements. dA dsudden dincrease din dserum dphosphate dlevel dcan dcause
dhypocalcemia.
-With dhyperphosphatemia, dmonitor dfor dsigns dof dtetany. dSoft dtissue dcalcification dcan dbe da dlong-
term dcomplication dof dchronically delevated dserum dphosphate dlevels.
Lab dValue d- dPotassium d(K d)
(Serum dElectrolyte) d- dAnswer d- d3.8 d- d5 dmEq/L
-Hypokalemia dcan dbe dlife-threatening. dAssess dfor dhypokalemia din dpatients dtaking ddigoxin.
dPatients dwith dhypokalemia dare dat drisk dfor dcardiac darrhythmias. dMonitor dfor dmuscle dcramps dand
dweakness, dparesthesias, dfatigue, danorexia, ddecreased dbowel dmotility, dand dan dirregular
dheartbeat. dTo dprevent dhypokalemia, deducate dabout dabuse dof dlaxatives dand ddiuretics.
- dHyperkalemia dcan dbe dlife-threatening. dMonitor dpts dfor darrhythmias, dirritability, dparesthesias,
dand danxiety, das dwell das dGI dsymptoms dsuch das dnausea dand dintestinal dcolic. dPrevent
dhyperkalemia dby dadministering dpotassium dcorrectly, daccording dto dyour dfacility dpolicy. dAlso,
davoid dgiving dpts dwith drenal dinsufficiency dpotassium-saving ddiuretics, dpotassium dsupplements, dor
dsalt dsubstitutes. dPts don dACE dinhibitors dshould davoid dpotassium dsupplements.
Lab dValue d- dSodium d(Na d)
(Serum dElectrolyte) d- dAnswer d- d135 d- d145 dmEq/L
- dFor dpts dwith dhyponatremia, dmonitor dfluid dlosses dand dgains, dmonitor dfor dGI dsymptoms
d(Anorexia, dnausea, dvomiting, dabdominal dcramping) dand dCNS dsymptoms d(lethargy, dconfusion,
, dmuscle dtwitching, dseizures), dand dcheck durine dspecific dgravity. dTake dseizure dprecautions dwhen
dhyponatremia dis dsevere.
- dWhen dhypernatremia dis dpresent, dmonitor dfluid dlosses dand dgains, dand dmonitor dfor dchanges din
dbehavior dsuch das drestlessness, dlethargy, dand ddisorientation. dLook dfor dexcessive dthirst dand
delevated dbody dtemp dand dcheck durine dspecific dgravity. dGive dsufficient dwater dwith dtube dfeedings
dto dkeep dserum dNA+ dand dBUN dat dnormal dlimits.
Latex dallergy drisk dfactor? d- dAnswer d- dBanana dAllergy
Antidote d/ dReversal dAgent d- dHeparin d(Lovenox)? d- dAnswer d- dProtamine dSulfate
aPTT dnormal drange dand dtherapeutic? d- dAnswer d- dNormal d30-40 dseconds. dTherapeutic dis d1.5 d-
d2.5x dseconds.
Antidote d/ dReversal dAgent d- dAcetaminophen? d- dAnswer d- dacetylcysteine d(Mucomyst)
Antidote d/ dReversal dAgent d- dIron? d- dAnswer d- ddeferoxamine d(Desferal)
Antidote d/ dReversal dAgent d- dLead? d- dAnswer d- dsuccimer d(Chemet)
Antidote d/ dReversal dAgent d- dDigitalis d- dAnswer d- ddigibind d(Digoxin dimmune dFAB)
DKA d(Diabetic dKetoacidosis) d- dEarly dS d& dS d- dAnswer d- dThirst dor dvery ddry dmouth, dpolyuria, dhigh
dblood dglucose dlevels, dhigh dlevel dof dketones din dthe durine.
DKA d(Diabetic dKetoacidosis) d- dLate dS d& dS d- dAnswer d- dConstantly dtired, ddry dor dflushed dskin,
dnausea, dvomiting, dabdominal dpain, ddifficulty dbreathing, dFRUITY dBREATH, dand dconfusion.
Serum dElectrolytes d- dAnswer d- dNa d- d136 dto d145
K d- d3.5 dto d5
Questions And Answers
Lab dValue d- dCalcium d(Ca d)
(Serum dElectrolyte) d- dAnswer d- d8.6 d- d10.2 dmg/dL
-If da dpatient dhas dsevere dhypocalcemia, dtake dseizure dprecautions dand dassess dthe dairway. dAlso,
dmonitor dfor dtetany, dtingling dsensations din dthe dtips dof dthe dfingers dand daround dthe dmouth, dand
din dthe dfeet. dSpasms dof dthe dmuscles dof dthe dextremities dand dthe dface dmay doccur. dAlso, dbe
dalert dfor dECG dchanges dincluding da dprolonged dQT dinterval.
- dIf da dpatient dhas dhypercalcemia, dincrease dmobilization dand dencourage dsufficient doral dintake.
dTake dsafety dprecautions dif dconfusion dis dpresent dand dbe dalert dfor dsigns dof ddigitalis dtoxicity.
dAlso, dmonitor dthe dpatient's dcardiac drate dand drhythm.
Lab dValue d- dChloride d(Cl d)
(Serum dElectrolyte) d- dAnswer d- d97 d- d107 dmEq/L
-Monitor dthe dpatient dwith dhypochloremia dfor dmuscle dspasms, dalkalosis, dand ddepressed
drespirations.
-Monitor dthe dpatient dwith dhyperchloremia dfor dacidosis.
Lab dValue d- dMagnesium d(Mg d)
(Serum dElectrolyte) d- dAnswer d- d1.3 d- d2.3 dmEq/L
-Hypomagnesemia dcan dpredispose da dpatient dto ddigitalis dtoxicity dor dcardiac darrhthymias. dTake
dseizure dprecautions dif dnecessary, dand dmonitor dfor dlaryngeal dstridor.
,-If dhypermagnesemia dis dpresent, dbe dalert dfor dhypotension dand dshallow drespirations, dlethargy,
ddrowsiness, dand dcoma. dDon't dgive dmagnesium dcontaining dmedications dto dpatient dwith drenal
dfailure dor dcompromised drenal dfunction. dCheck ddeep dtendon drelfexes dfrequently.
Lab dValue d- dPhosphate d(PO d)
(Serum dElectrolyte) d- dAnswer d- d2.5 d- d4.5 dmg/dL
-Patients dwith dsevere dhypophosphatemia dare dat dgreater drisk dfor dinfection. dAdmin dIV dphosphate
dproducts dcautiously dand dgive dTPN dcautiously din dmalnourished dpatients. dMonitor dfor ddiarrhea
dwhen dtaking doral dsupplements. dA dsudden dincrease din dserum dphosphate dlevel dcan dcause
dhypocalcemia.
-With dhyperphosphatemia, dmonitor dfor dsigns dof dtetany. dSoft dtissue dcalcification dcan dbe da dlong-
term dcomplication dof dchronically delevated dserum dphosphate dlevels.
Lab dValue d- dPotassium d(K d)
(Serum dElectrolyte) d- dAnswer d- d3.8 d- d5 dmEq/L
-Hypokalemia dcan dbe dlife-threatening. dAssess dfor dhypokalemia din dpatients dtaking ddigoxin.
dPatients dwith dhypokalemia dare dat drisk dfor dcardiac darrhythmias. dMonitor dfor dmuscle dcramps dand
dweakness, dparesthesias, dfatigue, danorexia, ddecreased dbowel dmotility, dand dan dirregular
dheartbeat. dTo dprevent dhypokalemia, deducate dabout dabuse dof dlaxatives dand ddiuretics.
- dHyperkalemia dcan dbe dlife-threatening. dMonitor dpts dfor darrhythmias, dirritability, dparesthesias,
dand danxiety, das dwell das dGI dsymptoms dsuch das dnausea dand dintestinal dcolic. dPrevent
dhyperkalemia dby dadministering dpotassium dcorrectly, daccording dto dyour dfacility dpolicy. dAlso,
davoid dgiving dpts dwith drenal dinsufficiency dpotassium-saving ddiuretics, dpotassium dsupplements, dor
dsalt dsubstitutes. dPts don dACE dinhibitors dshould davoid dpotassium dsupplements.
Lab dValue d- dSodium d(Na d)
(Serum dElectrolyte) d- dAnswer d- d135 d- d145 dmEq/L
- dFor dpts dwith dhyponatremia, dmonitor dfluid dlosses dand dgains, dmonitor dfor dGI dsymptoms
d(Anorexia, dnausea, dvomiting, dabdominal dcramping) dand dCNS dsymptoms d(lethargy, dconfusion,
, dmuscle dtwitching, dseizures), dand dcheck durine dspecific dgravity. dTake dseizure dprecautions dwhen
dhyponatremia dis dsevere.
- dWhen dhypernatremia dis dpresent, dmonitor dfluid dlosses dand dgains, dand dmonitor dfor dchanges din
dbehavior dsuch das drestlessness, dlethargy, dand ddisorientation. dLook dfor dexcessive dthirst dand
delevated dbody dtemp dand dcheck durine dspecific dgravity. dGive dsufficient dwater dwith dtube dfeedings
dto dkeep dserum dNA+ dand dBUN dat dnormal dlimits.
Latex dallergy drisk dfactor? d- dAnswer d- dBanana dAllergy
Antidote d/ dReversal dAgent d- dHeparin d(Lovenox)? d- dAnswer d- dProtamine dSulfate
aPTT dnormal drange dand dtherapeutic? d- dAnswer d- dNormal d30-40 dseconds. dTherapeutic dis d1.5 d-
d2.5x dseconds.
Antidote d/ dReversal dAgent d- dAcetaminophen? d- dAnswer d- dacetylcysteine d(Mucomyst)
Antidote d/ dReversal dAgent d- dIron? d- dAnswer d- ddeferoxamine d(Desferal)
Antidote d/ dReversal dAgent d- dLead? d- dAnswer d- dsuccimer d(Chemet)
Antidote d/ dReversal dAgent d- dDigitalis d- dAnswer d- ddigibind d(Digoxin dimmune dFAB)
DKA d(Diabetic dKetoacidosis) d- dEarly dS d& dS d- dAnswer d- dThirst dor dvery ddry dmouth, dpolyuria, dhigh
dblood dglucose dlevels, dhigh dlevel dof dketones din dthe durine.
DKA d(Diabetic dKetoacidosis) d- dLate dS d& dS d- dAnswer d- dConstantly dtired, ddry dor dflushed dskin,
dnausea, dvomiting, dabdominal dpain, ddifficulty dbreathing, dFRUITY dBREATH, dand dconfusion.
Serum dElectrolytes d- dAnswer d- dNa d- d136 dto d145
K d- d3.5 dto d5
