VERIFIED ANSWERS GRADED A+
n ABGs - correct answer ✔✔ Arterial Blood Gases
Reports the status of oxygenation and acid base balance of the blood
pH 7.35- 7.45
HCO3 (Bicarbonate) normal values 22-26 mEq/L
PaCO2 ( CO2 or carbon dioxide content) 35-45 mm Hg
PaO2 (oxygen saturation in arteria blood)- 80-100 mm Hg
Uncompensated metabolic alkalosis - correct answer ✔✔ pH: 7.5, paCO2: 42mm Hg, HCO3: 29
mEq/L
Compensated respiratory acidosis - correct answer ✔✔ pH: 7.36, paCO2: 47mm Hg, HCO3:30
mEq/L
Uncompensated metabolic acidosis - correct answer ✔✔ pH: 7.31, paCO2: 43mm Hg, HCO3: 19
mEq/L
Uncompensated respiratory alkalosis - correct answer ✔✔ pH 7.48, paCO2: 33mm Hg, HCO3: 25
mEq/L
Acidosis - correct answer ✔✔ Hyperventilation
Rapid fast breathing
A-Fib: Risk factors - correct answer ✔✔
,A-Fib: Patho - correct answer ✔✔ Atria is rapid firing
No coordination
A-Fib: Manifestations - correct answer ✔✔
A-Fib: Diagnosis - correct answer ✔✔
A-Fib: Interventions - correct answer ✔✔
A-Fib: Treatment - correct answer ✔✔ - Amiodarone
- plavix
- Aspirin
- Ca+ channel blockers
- heparin
- lovenox, reduces risk of clots due to blood stasis in atria = *RISK FOR CVA*
A-Fib: Education - correct answer ✔✔
A-fib: Complications - correct answer ✔✔ Myocardial infarct
Stroke
Angina: Risk factors - correct answer ✔✔
Angina: Patho - correct answer ✔✔ chest pain, occurs with low O2 and nutrient levels
Negative troponin
,Angina: Manifestations - correct answer ✔✔
Angina: Diagnosis - correct answer ✔✔ ECG, stress test, interventional studies
Angina: Interventions - correct answer ✔✔ stop activity and rest
nitroglycerin tablet placed under the tongue for quick absorption (up to two more does at 5-min
intervals)
call 911 if not relieved in 5 min (unstable)
headache is a common adverse effect of this medication.
sit and lie down slowly.
Angina: Treatment - correct answer ✔✔
Angina: Education - correct answer ✔✔
ARDS: Risk factors - correct answer ✔✔ -Sepsis
-Aspiration of gastric contents
-Shock
-Infection
-Trauma
-Toxic inhalation
-Near drowning
-Multiple blood transfusions
ARDS: Patho - correct answer ✔✔ Lung injury to respiratory distress within 72 hrs
, Severe acute inflammation and pulmonary edema without evidence of fluid overload or
impaired cardiac function
Mortality rate 30%-40% from multi-system organ failure in those untreated
Acute Respiratory Distress Syndrome
ARDS: Manifestations - correct answer ✔✔ restlessness, tachypnea, dyspnea (early signs)
blood tinged fronthy sputum
bronchial breath sounds
crackles
use of accessory muscles (see intercostal retractions)
ARDS: Diagnosis - correct answer ✔✔
ARDS: Interventions - correct answer ✔✔ Prone positioning to open up alveoli
Frequent turning
Help w anxiety or assist w sedation
ARDS: Treatment - correct answer ✔✔ Get intubated to help lungs stay open
Identify and treat the underlying cause
High pressure ventilation (PEEP)
High level O2 therapy
Supportive care
Nutrition
Fluid/electrolytes
Sedation facilitates ventilation and decreases O2 consumption