Rasmussen - MDC III - Final Exam With Complete Solution

Rasmussen - MDC III - Final Exam With Complete Solution respiratory alkalosis Correct Answer- high pH, low CO2 pH: 7.35-7.45 acidic-basic HCO3: 21-28 acidic-basic CO2: 45-35 acidic-basic metabolic acidosis Correct Answer- low pH, low HCO3 pH: 7.35-7.45 acidic-basic HCO3: 21-28 acidic-basic CO2: 45-35 acidic-basic respiratory acidosis Correct Answer- low pH, high CO2 pH: 7.35-7.45 acidic-basic HCO3: 21-28 acidic-basic CO2: 45-35 acidic-basic metabolic alkalosis Correct Answer- high pH, high HCO3 pH: 7.35-7.45 acidic-basic HCO3: 21-28 acidic-basic CO2: 45-35 acidic-basic ▪ change in condition make take priority over ABCs (ex: post op bleeding is priority over an O2 Sat% of 90%) ▪ pick the patient that is going to die first Correct Answer- Priority questions...something to consider CPR, press the code button Correct Answer- You walk into your patient's room and they *don't have a pulse*, what are you going to do? bag resuscitation, press the code button Correct Answer- You walk into your patient's room and they are *not breathing but have a pulse*, what are you going to do? ▪ unconscious, pulseless ▪ shock them with the AED! Correct Answer- If you walk into a room with a patient that is in *ventricular fibrillation (v fib)* ▪ How will they present? ▪ What must we do to get them out of that state? ▪ make them bear down (valsalva maneuver) ▪ make them cough (vagal maneuver) Correct Answer- If you walk into a room and a patient is alert and oriented, speaking to you, has a pulse, but their cardiac monitor shows they are in *ventricular tachycardia* ▪ What are you going to do? Supraventricular Tachycardia (SVT) Correct Answer- Which cardiac rhythm requires the patient to take *adenosine*? ▪ they may end up with a *blood clot* because the blood is pooling in the atria Correct Answer- What is our priority concern for a patient in *atrial fibrillation (a-fib)*? *control RVR for patient:* ▪ give anticoagulants