Mark Klimek NCLEX Review with correct answers

ABG interpretation if pH and Bicarb are Both in same direction = metaBolic normal pH value 7.35-7.45 00:02 01:17 normal bicarb 22-26 normal PaO2 80-100 Normal PaCO2 35-45 "when the pH goes so does the patient" **except for Potassium (compensation) pH ^ = pt ^ pH/ = pt / Causes of resp. acid-base imbalance is it lung? YES = respiratory Overventilating = alkalosis underventilating = acidosis only things that count as Metabolic Alkalosis suctioning and vomiting ventilator high pressure alarms working too hard to push air in cause by OBSTRUCTION *tube kinked *water in tubing *mucus in airway Ventilator low pressure alarm working too little to push air in caused by DISCONNECTIONS Denial rules to follow Confront abuse - tell them the difference of what they say / are doing support loss - support denial of loss because its serving a purpose Wernicke's Korsakoff Syndrome Psychosis due to low vit. B1 (thiamine) *amnesia and confabulation (making up stories) Disulferam aversion therapy - makes you sick to drink takes 2 weeks to start, and 2 weeks to wean off