Mark K. Yellow Book Review
If the pH and the BiCarb are both in the same direction then it is?
- Correct Ans: Metabolc
If the pH is up it is?
- Correct Ans: Alkalosis
As the pH goes so goes my patient except for?
- Correct Ans: Potassium
If the pH is down it is?
- Correct Ans: Acidosis
If the pH is up my patient with show signs and symptoms of?
- Correct Ans: Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of?
- Correct Ans: Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? - Correct Ans: Down
If my pH is down my potassium (K+) is? - Correct Ans: Up
If my patient is overventilating I should choose? - Correct Ans: Respiratory Alkalosis
If my patient is underventilating I should choose? - Correct Ans: Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose? - Correct Ans:
Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose? - Correct Ans: Metabolic
Acidosis
Kussmal Respirations - Correct Ans: Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? - Correct Ans: Allen's test. Should be
positive. Pt makes a fist and pressure is applied to the ulnar and the radial arteries
Ulnar pressure is released and color should return in 7 seconds (means it's positive and
OK to take ABG's).
Definition of Compensation - Correct Ans: PH is normal! It is never compensated if it is
abnormal.
If PH normal - Correct Ans: look in the direction it is going. Closer to Acidic? (7.35)
acidosis.
,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 :)
If your pt is acidotic and you need to pick a symptom - Correct Ans: Pick the symptom
where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick - Correct Ans: Metabolic
Acidosis
If in doubt in ABGs, always pick - Correct Ans: Headache, nausea, weakness &
numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? - Correct Ans: They cannot push air in
High pressure alarms are caused by what three types of obstructions? - Correct Ans:
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you? - Correct Ans: Unkink
If water is present in the dependant loops you? - Correct Ans: Open system and empty
water.
If mucus is present you? - Correct Ans: Turn them, cough and have them deeo breath
first. If ineffective you then suction.
Don't suction unless - Correct Ans: Coughing & deep breathing is deemed
inappropriate.
In order to suction, you must be able to hear - Correct Ans: Mucus in the lung
Low pressure alarms are triggered when? - Correct Ans: It is to easy to push air in.
Low pressure alarms are normally caused by? - Correct Ans: Disconnection
If the tubing is disconnected you? - Correct Ans: Reconnect
If O2 sensor line is disconnected you? - Correct Ans: Reconnect
In a vented client respiratory alkalosis means the vent setting may be too? - Correct
Ans: High
In a vented client respiratory acidosis means the vent may be too? - Correct Ans: Low
,What do you do if the patients disconnected tube is on the floor? - Correct Ans: Bag
them, (call for help) get new tube and then reconnect.
First question to ask if the low pressure alarm sounds - Correct Ans: Where is the
tubing?!
HOLD - Correct Ans: H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice - Correct Ans: On anyone else
Make sure your answer is - Correct Ans: PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
What does wean mean? - Correct Ans: Decrease Gradually
What do you do if the patients disconnected tube is on the chest? - Correct Ans:
Reconnect ... if its above the waist its ok.
Remember is PSYCH if you are asked to Prioritize, Don't forget - Correct Ans:
MASLOW!
1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual
When prioritizing, always use Maslow + ABCs - Correct Ans: For one patient. Don't if
you have more than one patient.
What is the biggest problem in abuse? - Correct Ans: Denial
To treat denial you need to? - Correct Ans: Confront them.
Definition of Denial - Correct Ans: Refusal to accept reality of their problem
How do you confront? - Correct Ans: Point out the difference between what they say
and what they do.
, What is the one circumstance that you as a nurse would support denial? - Correct Ans:
Loss and Grief
Always go - Correct Ans: Med surg first. Then Psych
What is dependency? - Correct Ans: When the abuser gets a significant other so make
decisions for them or do thing for them.
What is codependency? - Correct Ans: When the significant other gets positive self
esteem from doing things or making decisions for an abuser.
To treat dependency/codependency you ? - Correct Ans: Set limits and enforce them.
Say NO and follow through.
Agree in advance on what requests are allowed, then enforce the agreement.
Work on self esteem of the codependent.
What is manipulation? - Correct Ans: When the abuser gets the significant other fo do
things for them that is not in the best interest of the significant other. This can be
dangerous and harmful to the significant other.
How do you treat manipulation? - Correct Ans: Set limits and enforce.
Why is manipulation easier to treat then dependency/codependency? - Correct Ans:
Because no one likes being manipulated.
DABDA - Correct Ans: D- Denial
A- Anger
B- Bargaining
D- Depression
A- Acceptance
Psych Needs, In order - Correct Ans: Denial
Depend
Manipulation
To address a patient's psychological needs, they must be: - Correct Ans: STABLE, safe,
comfortable.
Pain - Correct Ans: Never killed anyone. NOT the top priority, especially if there are
physiological needs in the question that make the patient unstable.
What is Wernickes (Korsakoffs) Syndrome? - Correct Ans: Psychosis induced by
vitamin B1 (Thiamine) deficiency.
If the pH and the BiCarb are both in the same direction then it is?
- Correct Ans: Metabolc
If the pH is up it is?
- Correct Ans: Alkalosis
As the pH goes so goes my patient except for?
- Correct Ans: Potassium
If the pH is down it is?
- Correct Ans: Acidosis
If the pH is up my patient with show signs and symptoms of?
- Correct Ans: Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of?
- Correct Ans: Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? - Correct Ans: Down
If my pH is down my potassium (K+) is? - Correct Ans: Up
If my patient is overventilating I should choose? - Correct Ans: Respiratory Alkalosis
If my patient is underventilating I should choose? - Correct Ans: Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose? - Correct Ans:
Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose? - Correct Ans: Metabolic
Acidosis
Kussmal Respirations - Correct Ans: Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? - Correct Ans: Allen's test. Should be
positive. Pt makes a fist and pressure is applied to the ulnar and the radial arteries
Ulnar pressure is released and color should return in 7 seconds (means it's positive and
OK to take ABG's).
Definition of Compensation - Correct Ans: PH is normal! It is never compensated if it is
abnormal.
If PH normal - Correct Ans: look in the direction it is going. Closer to Acidic? (7.35)
acidosis.
,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 :)
If your pt is acidotic and you need to pick a symptom - Correct Ans: Pick the symptom
where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick - Correct Ans: Metabolic
Acidosis
If in doubt in ABGs, always pick - Correct Ans: Headache, nausea, weakness &
numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? - Correct Ans: They cannot push air in
High pressure alarms are caused by what three types of obstructions? - Correct Ans:
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you? - Correct Ans: Unkink
If water is present in the dependant loops you? - Correct Ans: Open system and empty
water.
If mucus is present you? - Correct Ans: Turn them, cough and have them deeo breath
first. If ineffective you then suction.
Don't suction unless - Correct Ans: Coughing & deep breathing is deemed
inappropriate.
In order to suction, you must be able to hear - Correct Ans: Mucus in the lung
Low pressure alarms are triggered when? - Correct Ans: It is to easy to push air in.
Low pressure alarms are normally caused by? - Correct Ans: Disconnection
If the tubing is disconnected you? - Correct Ans: Reconnect
If O2 sensor line is disconnected you? - Correct Ans: Reconnect
In a vented client respiratory alkalosis means the vent setting may be too? - Correct
Ans: High
In a vented client respiratory acidosis means the vent may be too? - Correct Ans: Low
,What do you do if the patients disconnected tube is on the floor? - Correct Ans: Bag
them, (call for help) get new tube and then reconnect.
First question to ask if the low pressure alarm sounds - Correct Ans: Where is the
tubing?!
HOLD - Correct Ans: H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice - Correct Ans: On anyone else
Make sure your answer is - Correct Ans: PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
What does wean mean? - Correct Ans: Decrease Gradually
What do you do if the patients disconnected tube is on the chest? - Correct Ans:
Reconnect ... if its above the waist its ok.
Remember is PSYCH if you are asked to Prioritize, Don't forget - Correct Ans:
MASLOW!
1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual
When prioritizing, always use Maslow + ABCs - Correct Ans: For one patient. Don't if
you have more than one patient.
What is the biggest problem in abuse? - Correct Ans: Denial
To treat denial you need to? - Correct Ans: Confront them.
Definition of Denial - Correct Ans: Refusal to accept reality of their problem
How do you confront? - Correct Ans: Point out the difference between what they say
and what they do.
, What is the one circumstance that you as a nurse would support denial? - Correct Ans:
Loss and Grief
Always go - Correct Ans: Med surg first. Then Psych
What is dependency? - Correct Ans: When the abuser gets a significant other so make
decisions for them or do thing for them.
What is codependency? - Correct Ans: When the significant other gets positive self
esteem from doing things or making decisions for an abuser.
To treat dependency/codependency you ? - Correct Ans: Set limits and enforce them.
Say NO and follow through.
Agree in advance on what requests are allowed, then enforce the agreement.
Work on self esteem of the codependent.
What is manipulation? - Correct Ans: When the abuser gets the significant other fo do
things for them that is not in the best interest of the significant other. This can be
dangerous and harmful to the significant other.
How do you treat manipulation? - Correct Ans: Set limits and enforce.
Why is manipulation easier to treat then dependency/codependency? - Correct Ans:
Because no one likes being manipulated.
DABDA - Correct Ans: D- Denial
A- Anger
B- Bargaining
D- Depression
A- Acceptance
Psych Needs, In order - Correct Ans: Denial
Depend
Manipulation
To address a patient's psychological needs, they must be: - Correct Ans: STABLE, safe,
comfortable.
Pain - Correct Ans: Never killed anyone. NOT the top priority, especially if there are
physiological needs in the question that make the patient unstable.
What is Wernickes (Korsakoffs) Syndrome? - Correct Ans: Psychosis induced by
vitamin B1 (Thiamine) deficiency.
