Mark-Klemik-Lectures -Notes to help pass NCLEX -TRUSTED 100%
Mark-Klemik-Lectures -Notes to help pass NCLEX -TRUSTED 100% Rn Capstone Course (Chamberlain University) MARK KLEMIK LECTURES Acid-Base Balance Rule of the Bs - If the pH and the bicarb are both in the same direction, then it is metabolic - Just look at the pH and the bicarb - If the bicarb is 21 and the pH is 7.2, then you’ve got metabolic acidosis because the pH indicates acidosis and it’s going in the same direction as the bicarb (down), so it’s metabolic. - If the pH is 7.2 but the bicarb is 26 or over, then they are going in different directions and so it must be respiratory acidosis - If the pH is up and the bicarb is normal, then it would still fall under respiratory - Ths would not work in the case of a mixed acid-base disorder, but boards won’t test on a mixed acid-base disorder Boards tests you on principles. And it does so by having you generate lists. Ex: you know that opioids are CNS depressants (principle). Generally the symptoms of overdose or having a bit too much are all /down/ symptoms. Hyporeflexia not hyperreflexia, drowsiness not restlessness, constipation not diarrhea. So you can generate a list by knowing the principle. As the pH goes, so goes the patient
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