MARK KLIMEK LECTURES 1 TO 12
COMPREHENSIVE TEST BANK COMPLETE
QUESTIONS AND ANSWERS PRACTICE
SOLUTION VERIFIED
◉ What is borborygmi? Answer: increased bowel sounds
◉ When do you have kussmauls respirations and what do they look
like? Answer: Metabolic Acidosis (Mackussmauls), rapid & deep
respirations
*often seen in DKA*
◉ What does obtunded mean? Answer: Lethargic
◉ Normal
pH
CO2
HCO3 Answer: Normal
pH : 7.35-7.45 (7.45 is basic)
CO2 : 35-45 (45 is acidic)
HCO3 : 22-26 (26 is basic)
,◉ ABG's: Over-ventalating indicates? Answer: alkalosis
◉ ABG's: Under-ventalating indicates? Answer: acidosis
◉ What does ventilation mean? Answer: Gas exchange - Acidosis
versus alkalosis is based on ventilation not respirations
◉ If the patient has a low SaO2, are they acidic or alkalotic? Answer:
acidic, because low SaO2 means high CO2
◉ If the patient has a High SaO2, are they acidic or alkalotic?
Answer: alkalotic, because high SaO2 means low CO2
◉ If the patient is shutting down, we would expect their pH to be ___
and their K+ to be ___ Answer: If the patient is shutting down, we
would expect their pH to be acidic (low) and their K+ to be high
◉ If the patient is irritable, we would expect their pH to be ___ and
their K+ to be ___ Answer: If the patient is irritable, we would expect
their pH to be alkalotic (high) and their K+ to be low
◉ If it is not a lung problem (if it is any other organ or ailment) and it
is not related to vomiting, suctioning or diarrhea, then it is _______
acidosis Answer: If it is NOT a lung problem (if it is any other organ
or ailment) and it is NOT related to vomiting, suctioning or diarrhea,
then it is METABOLIC ACIDOSIS
, ◉ We poop ___, we vomit ___ Answer: We poop base, we vomit acid
◉ What does a high pressure vent alarm indicate? Answer:
Obstruction, kink, condensation, mucus (TCDB then suction if that
doesn't work)
◉ What does a low pressure vent alarm indicate? Answer:
Disconnection
◉ Respiratory alkalosis means the patient is ventilating ___ Answer:
Respiratory alkalosis means the patient is ventilating over
◉ Respiratory acidosis means the patient is ventilating ___ Answer:
Respiratory acidosis means the patient is ventilating under
◉ The more you suction the ___ secretions the patient will produce
Answer: The more you suction the MORE secretions the patient will
produce
◉ If patient is "breathing over the vent" what does that mean?
Answer: The patient is overventalating and they don't need the vent,
they're ready to be weaned off
◉ With alcoholics ONLY, the best communication technique is ___
Answer: confrontation
COMPREHENSIVE TEST BANK COMPLETE
QUESTIONS AND ANSWERS PRACTICE
SOLUTION VERIFIED
◉ What is borborygmi? Answer: increased bowel sounds
◉ When do you have kussmauls respirations and what do they look
like? Answer: Metabolic Acidosis (Mackussmauls), rapid & deep
respirations
*often seen in DKA*
◉ What does obtunded mean? Answer: Lethargic
◉ Normal
pH
CO2
HCO3 Answer: Normal
pH : 7.35-7.45 (7.45 is basic)
CO2 : 35-45 (45 is acidic)
HCO3 : 22-26 (26 is basic)
,◉ ABG's: Over-ventalating indicates? Answer: alkalosis
◉ ABG's: Under-ventalating indicates? Answer: acidosis
◉ What does ventilation mean? Answer: Gas exchange - Acidosis
versus alkalosis is based on ventilation not respirations
◉ If the patient has a low SaO2, are they acidic or alkalotic? Answer:
acidic, because low SaO2 means high CO2
◉ If the patient has a High SaO2, are they acidic or alkalotic?
Answer: alkalotic, because high SaO2 means low CO2
◉ If the patient is shutting down, we would expect their pH to be ___
and their K+ to be ___ Answer: If the patient is shutting down, we
would expect their pH to be acidic (low) and their K+ to be high
◉ If the patient is irritable, we would expect their pH to be ___ and
their K+ to be ___ Answer: If the patient is irritable, we would expect
their pH to be alkalotic (high) and their K+ to be low
◉ If it is not a lung problem (if it is any other organ or ailment) and it
is not related to vomiting, suctioning or diarrhea, then it is _______
acidosis Answer: If it is NOT a lung problem (if it is any other organ
or ailment) and it is NOT related to vomiting, suctioning or diarrhea,
then it is METABOLIC ACIDOSIS
, ◉ We poop ___, we vomit ___ Answer: We poop base, we vomit acid
◉ What does a high pressure vent alarm indicate? Answer:
Obstruction, kink, condensation, mucus (TCDB then suction if that
doesn't work)
◉ What does a low pressure vent alarm indicate? Answer:
Disconnection
◉ Respiratory alkalosis means the patient is ventilating ___ Answer:
Respiratory alkalosis means the patient is ventilating over
◉ Respiratory acidosis means the patient is ventilating ___ Answer:
Respiratory acidosis means the patient is ventilating under
◉ The more you suction the ___ secretions the patient will produce
Answer: The more you suction the MORE secretions the patient will
produce
◉ If patient is "breathing over the vent" what does that mean?
Answer: The patient is overventalating and they don't need the vent,
they're ready to be weaned off
◉ With alcoholics ONLY, the best communication technique is ___
Answer: confrontation
