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(ANSWERED) NUR2392 Multidimensional Care II Exam 2023/2024

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Uncompensated - Correct Answer pH and one other value is abnormal Partial compensation - Correct Answer pH, CO2, and HCO3 are all off Full compensation - Correct Answer pH is normal Acidosis - Correct Answer reduces the excitability of cardiovascular muscle, neurons, skeletal muscle, and smooth muscle. Alkalosis - Correct Answer increases the sensitivity of excitable tissues allowing them to OVERRESPOND without stimulation ABG considerations - Correct Answer - Assess cardiovascular w/ acidosis (cardiac arrest from hyperkalemia) - Assess neuro status - Fall precautions Bicarb HC03 - Correct Answer kidney compensation (slow and powerful) Respiratory PaC02 - Correct Answer Respiratory compensation (fast but limited) Metabolic acidosis causes - Correct Answer DKA, Starvation, diarrhea, kidney failure, dehydration, liver failure, pancreatitis, heavy exercise, seizure activity, fever, hypoxia, ischemia, ethanol/methanol intoxication Metabolic acidosis signs and symptoms - Correct Answer bradycardia, hypotension, thready pulse, CNS depression, hyporeflexia, kussmal resp (with resp compensation), warm, flushed, dry skin. Metabolic acidosis treatment - Correct Answer hydration and medication to treat underlying problems (DKA - give insulin). Metabolic alkalosis causes - Correct Answer antacids, blood transfusion, sodium bicarbonate, total parenteral nutrition (TPN), prolonged vomiting, nasogastric suctioning, hypercortisolism, hyperaldosteronism, Loop/Thiazide diuretics. Metabolic Alkalosis s/s - Correct Answer anxiety, irritability, tetany, seizures, POSITIVE CHVOSTEK, POSITIVE TROUSSEAU, parathesis, hyperreflexia, muscle cramp

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