Mark Klimek Lecture Outlines

If the pH and the BiCarb are both in the same direction then it is? - Answer - Metabolc If the pH is up it is? - Answer - Alkalosis As the pH goes so goes my patient except for? - Answer - Potassium If the pH is down it is? - Answer - Acidosis If the pH is up my patient with show signs and symptoms of? - Answer - Increase... like tachycardia,diarrhea and borborygmi If the pH is down my patient will show signs and symtoms of? - Answer - Decrease... like decreased output, bradycardia and constipation If my pH is up my potassium (K+) is ? - Answer - Down If my pH is down my potassium (K+) is? - Answer - Up If my patient is overventilating I should choose? - Answer - Respiratory Alkalosis If my patient is underventilating I should choose? - Answer - Respiratory Acidosis If my patient has prolonged gastric vomiting or suction I choose? - Answer - Metabolic Alkalosis If it is not lung or prolonged vomiting or suctioning I choose? - Answer - Metabolic Acidosis Kussmal Respirations - Answer - Metabolic Acidosis ( Remember MacKussmal Before measuing ABGs you should check what? - Answer - 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 - Answer - PH is normal! It is never compensated if it is abnormal. If PH normal - Answer - 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 Acidosi