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Exam (elaborations)

Yellow Book Klimek questions Answer

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Yellow Book Klimek questions Answer

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If the pH and the BiCarb are both
Metabolc
in the same direction then it is?




If the pH is up it is? Alkalosis




As the pH goes so goes my
Potassium
patient except for?




If the pH is down it is? Acidosis




Increase... like
If the pH is up my patient with
tachycardia,diarrhea and
show signs and symptoms of?
borborygmi

,If the pH is down my patient will Decrease... like decreased output,
show signs and symtoms of? bradycardia and constipation




If my pH is up my potassium (K+)
Down
is ?




If my pH is down my potassium
Up
(K+) is?




If my patient is overventilating I
Respiratory Alkalosis
should choose?




If my patient is underventilating I
Respiratory Acidosis
should choose?

, If my patient has prolonged
gastric vomiting or suction I Metabolic Alkalosis
choose?




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




Metabolic Acidosis ( Remember
Kussmal Respirations
MacKussmal



Allen's test. Should be positive. Pt makes
a fist and pressure is applied to the ulnar
Before measuing ABGs you and the radial arteries Ulnar pressure is
should check what? released and color should return in 7
seconds (means it's positive and OK to
take ABG's).




PH is normal! It is never
Definition of Compensation
compensated if it is abnormal.

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

If PH normal 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 :)




Pick the symptom where everything
is DOWN. ( And vice Versa)
If your pt is acidotic and you need
to pick a symptom
Ex: 2 degree Morbitz Type 2
BLOCK. <---- Down direction




If you don't know what causes an
Metabolic Acidosis
acid base balance, pick




Headache, nausea, weakness &
If in doubt in ABGs, always pick numbness+ tingling. It can be
either up or down.




High pressure alarms are
They cannot push air in
triggered when?

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