Mark K Lecture #1
Normal pH - ANS7.35-7.45
Normal co2 - ANS35-45
Normal bicarb (hco3) - ANS22-26
The nclex will give you 8 labs what two do you focus on? - ANSpH and bicarb
ROME - ANSrespiratory opposite
metabolic equal
reflexes - ANShypo - 0, +1
normal - +2,
hyper - +3, +4
as the pH goes, so does my patient, except for what ? and what does this mean? - ANSexcept
for K
if ph is low, everything is low, except for potassium
if ph is high, everything is high, except for potassium
ex. of ph above 7.45 symptoms?
priority intervention? - ANSalkalosis
Therefore everything is up: tachycardia, tachypnea, HTN, seizures, irritability, spastic, diarrhea,
borborygmi (increase bowel sounds), hyperreflexia (3+, 4+)
• However, potassium is opposite. Therefore, hypokalemia
• What is the nursing intervention?
o Pt need suctioning because of seizures
ex. of ph below 7.35 symptoms?
what is the priority intervention> - ANS• Therefore, everything is down: bradycardia,
constipation, absent bowel sounds, flaccid, obtunded, lethargy, coma hyporeflexia (0, 1+),
bradypnea, low BP
• However, potassium is high (hyperkalemia)
• What is the nursing intervention?
o Pt needs to be ventilated with an Ambu bag—respiratory arrest
What acid-base imbalance do kussmaul respirations belong to? - ANS"MAC Kussmaul" is the
only acid-base imbalance to cause Metabolic ACidosis with Kussmaul respirations
Normal pH - ANS7.35-7.45
Normal co2 - ANS35-45
Normal bicarb (hco3) - ANS22-26
The nclex will give you 8 labs what two do you focus on? - ANSpH and bicarb
ROME - ANSrespiratory opposite
metabolic equal
reflexes - ANShypo - 0, +1
normal - +2,
hyper - +3, +4
as the pH goes, so does my patient, except for what ? and what does this mean? - ANSexcept
for K
if ph is low, everything is low, except for potassium
if ph is high, everything is high, except for potassium
ex. of ph above 7.45 symptoms?
priority intervention? - ANSalkalosis
Therefore everything is up: tachycardia, tachypnea, HTN, seizures, irritability, spastic, diarrhea,
borborygmi (increase bowel sounds), hyperreflexia (3+, 4+)
• However, potassium is opposite. Therefore, hypokalemia
• What is the nursing intervention?
o Pt need suctioning because of seizures
ex. of ph below 7.35 symptoms?
what is the priority intervention> - ANS• Therefore, everything is down: bradycardia,
constipation, absent bowel sounds, flaccid, obtunded, lethargy, coma hyporeflexia (0, 1+),
bradypnea, low BP
• However, potassium is high (hyperkalemia)
• What is the nursing intervention?
o Pt needs to be ventilated with an Ambu bag—respiratory arrest
What acid-base imbalance do kussmaul respirations belong to? - ANS"MAC Kussmaul" is the
only acid-base imbalance to cause Metabolic ACidosis with Kussmaul respirations
