Mark Klimek 1-14 Exam Questions with Correct Answers

Rule of Bs - ANSWER-If the pH and the BICARB are BOTH in the same direction, then it is metaBOLIC (Draw Arrows) Normal pH - ANSWER-7.35-7.45 normal bicarbonate levels - ANSWER-22-26 mEq/L Normal CO2 levels - ANSWER-35-45 Never choose "_____________________" if the pH is abnormal - ANSWER-Compensated If ALL three (pH, HCO3, and CO2 are abnormal, then it is.... - ANSWER-partially compensated (Three strikes and you're partial) If the ___________, so goes ___________________, except for _________ - ANSWER-if the pH goes, so goes my patient, except for K+. Meaning, if the pH decreases, the s/s of the PT will be stuff like hypo, decreased, brady, oli, etc but K+ will be high Mac-Kussmal - ANSWER-Mac = Metabolic acidosis Kussmal = the rapid breathing. Questions to ask to see the cause of acid-base imblances - ANSWER-First, ask yourself "Is it lung?" - then its respiratory Then ask, "Are they over or under venting?" Are they vomiting? Over ventilation causes - ANSWER-respiratory alkolosis (Both arrows go up) Under ventilating causes - ANSWER-acidosis (both arrows are down) If the patient has prolonged gastric vomiting or suction, pick - ANSWER-metabolic alkilosis If its not lung or vomitting, then pick - ANSWER-metabolic acidosis When you dont know which acid-base imbalance it is (and its not lung or vomiting), pick - ANSWER-metabolic acidosis