CMN 552 EXAM 3 ACTUAL TEST QUESTIONS
AND SOLVED ANSWERS
◉ ABGS NORMAL VALUES
Answer: PH = 7.35- 7.45
CO2= 35- 45
HCO3= 21- 28
◉ respiratory acidosis
Answer: low pH, high CO2
◉ if you have respiratory acidosis what organ has the problem?
Answer: LUNGS = HYPOVENTILATION
THINK AIRWAY OBSTRUCTION
◉ examples of respiratory acidosis?
Answer: - NARCOTIC OVERDOSE (NALAXONE)
- SLEEPING PILLS
- PNEUMOTHORAX
- COLLAPSED LUNG
- PNEUMONIA
,- MID ABDOMINAL INCISION HURTS TO BREATH SO SHALLOW
RESPIRATIONS
◉ Treatment for respiratory acidosis
Answer: -If hypoxic make sure they have a patent airway then give
them O2
-Pneumonia
Postural drainage, percussion, suctioning, deep breathing exercises,
fluids, elevate HOB, teaching and use of IS
-Pneumothorax
Chest tube
-Post-op
Cough & deep breathing exercises (bubbles for kids)
◉ respiratory alkalosis
Answer: high pH, low CO2
◉ respiratory alkalosis causes
Answer: hyperventilation= breathing too FAST!
,- aspirin overdose
- anxiety
- fever
◉ respiratory alkalosis treatment?
Answer: treat underlying cause
- Paper bag to rebreathe CO2
- encourage appropriate breathing pattern
- hold breath
- sedation
◉ metabolic acidosis
Answer: low pH, low HCO3
◉ in metabolic what organ is the problem ?
Answer: kidneys
◉ metabolic acidosis causes
Answer: DKA, severe diarrhea, renal failure, shock, starvation
◉ what electrolyte can go up with metabolic acidosis ?
Answer: K
, other s/s = resp increase, kussmaul to get rid of acid
◉ metabolic acidosis treatment ?
Answer: treat underlying cause
- diarrhea (anti diarrheal meds)
- DKA (iv fluids and insulin )
- shock (fluids )
◉ metabolic alkalosis
Answer: high pH, high HCO3
◉ metabolic alkalosis causes
Answer: - vomiting
- diuretics
- antacids
- suction
◉ in metabolic alkalosis K levels will go ?
Answer: down
◉ treatment for metabolic alkalosis
Answer: treat the cause
AND SOLVED ANSWERS
◉ ABGS NORMAL VALUES
Answer: PH = 7.35- 7.45
CO2= 35- 45
HCO3= 21- 28
◉ respiratory acidosis
Answer: low pH, high CO2
◉ if you have respiratory acidosis what organ has the problem?
Answer: LUNGS = HYPOVENTILATION
THINK AIRWAY OBSTRUCTION
◉ examples of respiratory acidosis?
Answer: - NARCOTIC OVERDOSE (NALAXONE)
- SLEEPING PILLS
- PNEUMOTHORAX
- COLLAPSED LUNG
- PNEUMONIA
,- MID ABDOMINAL INCISION HURTS TO BREATH SO SHALLOW
RESPIRATIONS
◉ Treatment for respiratory acidosis
Answer: -If hypoxic make sure they have a patent airway then give
them O2
-Pneumonia
Postural drainage, percussion, suctioning, deep breathing exercises,
fluids, elevate HOB, teaching and use of IS
-Pneumothorax
Chest tube
-Post-op
Cough & deep breathing exercises (bubbles for kids)
◉ respiratory alkalosis
Answer: high pH, low CO2
◉ respiratory alkalosis causes
Answer: hyperventilation= breathing too FAST!
,- aspirin overdose
- anxiety
- fever
◉ respiratory alkalosis treatment?
Answer: treat underlying cause
- Paper bag to rebreathe CO2
- encourage appropriate breathing pattern
- hold breath
- sedation
◉ metabolic acidosis
Answer: low pH, low HCO3
◉ in metabolic what organ is the problem ?
Answer: kidneys
◉ metabolic acidosis causes
Answer: DKA, severe diarrhea, renal failure, shock, starvation
◉ what electrolyte can go up with metabolic acidosis ?
Answer: K
, other s/s = resp increase, kussmaul to get rid of acid
◉ metabolic acidosis treatment ?
Answer: treat underlying cause
- diarrhea (anti diarrheal meds)
- DKA (iv fluids and insulin )
- shock (fluids )
◉ metabolic alkalosis
Answer: high pH, high HCO3
◉ metabolic alkalosis causes
Answer: - vomiting
- diuretics
- antacids
- suction
◉ in metabolic alkalosis K levels will go ?
Answer: down
◉ treatment for metabolic alkalosis
Answer: treat the cause