How can you tell if its metabolic or If bicarb goes in the same direction as pH, its metabolic
respiratory?
HC03 normals 22-26
CO2 normals 35-45
As the pH goes.... so goes my patient, except for potassium
Cause of respiratory acidosis overventilating
Cause of respiratory alkalosis underventilating
Withdrawal/overdose in a newborn At birth and for 24 hours after, assume intoxication
occurs 72 hours after stopping drinking in 20% of withdrawal patients--> dan
Delirium tremens
self and others (NPO/clears, restrains, step-down acuity, strict bedrest)
"a mean old mycin", big guns of antibiotics, used for mean old infections (not
Aminoglycosides
mycins, if it has a "thro"... "thro it out")
Toxic affects of aminoglycosides autotoxic, nephrotoxic
taken PO for pre-op bowel surgery or hepatic encephalopathy (not absorbe
Other uses of aminoglycosides
neomycyin and kanamycin (neo kan)
Trough levels always 30 minutes before next dose
SL peak 5-10 minutes after dissolved
, IV peak 15-30 minutes after infusion complete
IM peak 30-60 minutes after giving
SQ peak think insulin
PO peak variable
like valium for your heart, end in -dipine (dipping in the calcium channel) +
Calcium channel blockers verapamil and diltiazem, antihypertensives, antianginals, anti-atrial arrhythmi
AA, AAA)
Calcium channel blockers side effects headaches and hypotension
Calicum channel blockers hold if systolic < 100
contraindications
Lethal (no cardiac output) cardiac rythms V-fib and asystole
amiodorone
Treatment for ventricular arrythmias
V-fib you d-fib
Treatment for atrial arrhythmia ABCDs (adenosine, beta blockers, calcium channel blockers, digoxin)
1. Epinephrine,
Treatment for asystole
2. Atropine
Types of chest tubes Apicals remove air, basilar removes blood
respiratory?
HC03 normals 22-26
CO2 normals 35-45
As the pH goes.... so goes my patient, except for potassium
Cause of respiratory acidosis overventilating
Cause of respiratory alkalosis underventilating
Withdrawal/overdose in a newborn At birth and for 24 hours after, assume intoxication
occurs 72 hours after stopping drinking in 20% of withdrawal patients--> dan
Delirium tremens
self and others (NPO/clears, restrains, step-down acuity, strict bedrest)
"a mean old mycin", big guns of antibiotics, used for mean old infections (not
Aminoglycosides
mycins, if it has a "thro"... "thro it out")
Toxic affects of aminoglycosides autotoxic, nephrotoxic
taken PO for pre-op bowel surgery or hepatic encephalopathy (not absorbe
Other uses of aminoglycosides
neomycyin and kanamycin (neo kan)
Trough levels always 30 minutes before next dose
SL peak 5-10 minutes after dissolved
, IV peak 15-30 minutes after infusion complete
IM peak 30-60 minutes after giving
SQ peak think insulin
PO peak variable
like valium for your heart, end in -dipine (dipping in the calcium channel) +
Calcium channel blockers verapamil and diltiazem, antihypertensives, antianginals, anti-atrial arrhythmi
AA, AAA)
Calcium channel blockers side effects headaches and hypotension
Calicum channel blockers hold if systolic < 100
contraindications
Lethal (no cardiac output) cardiac rythms V-fib and asystole
amiodorone
Treatment for ventricular arrythmias
V-fib you d-fib
Treatment for atrial arrhythmia ABCDs (adenosine, beta blockers, calcium channel blockers, digoxin)
1. Epinephrine,
Treatment for asystole
2. Atropine
Types of chest tubes Apicals remove air, basilar removes blood
