NUR 430 EXAM 2 FINAL GUIDE ANSWERED PERFECTLY!!

NUR 430 EXAM 2 FINAL GUIDE ANSWERED
PERFECTLY!!
activity intolerance & anxiety
Answers r/f respiratory distress
acute confusion


Answers hypoxia
hypercapnia
delirium
what is hypercapnia?


Answers too much CO2
what is hypoxia?


Answers low oxygen
decreased CO


Answers decreased preload from mechanical ventilation
decreased preload from mechanical ventilation


Answers higher PEEP --> lower CO
deficient fluid volume


Answers pre renal (no volume, RASS activate, AKI)
dysfunctional ventilator weaning response

,Answers unable to wean off vent
Pt. will have resp. distress, tachypnea/bradypnea, tachycardia, anxious, decreased
sats
longterm vent requirements


Answers may need trach
when to take patient off the vent


Answers tolerating weaning
breathing effectively
sats are good
what percentage of air are we breathing?


Answers 21%
ineffective airway clearance


Answers coughing and need suction
respiratory acidosis


Answers low pH, high PaCO2, normal HCO3
what causes respiratory acidosis


Answers impaired ventilation
- leads to the accumulation of carbon dioxide and the development of respiratory
acidosis

,respiratory acidosis tx


Answers maintain patent airway give O2
prepare for mechanical ventilation
respiratory alkalosis


Answers high pH, low PaCO2, normal HCO3
respiratory alkalosis tx


Answers body typically corrects itself
may have to sedate client to decrease respiratory rate
metabolic acidosis


Answers low pH, low HCO3, normal PaCO2
what causes metabolic acidosis


Answers hypoxia
- causes impaired tissue perfusion leads to the production of lactic acid
metabolic acidosis tx


Answers bi-carb and or dialysis (kidneys are a problem)
what kind of respirations do we see in metabolic acidosis


Answers Kussmauls
kussmauls respirations

, Answers abnormally deep and increased in rate
metabolic alkalosis


Answers high pH, high HCO3, normal PaCO2
- not enough acid or too much base
metabolic alkalosis tx


Answers fix the problem, replace the potassium
alveolar capillary membrane (ACM)


Answers where all gas exchange is happening
BiPap


Answers non-invasive ventilator for patients in respiratory distress; expect critical
care if patients are placed on BiPAP


- have to be awake & alert enough to initiate a breath to use BiPap


CO2 retainer & provides PEEP


for patients who need pressure or needs to exchange CO2
Mechanical Ventilation


Answers used to provide mechanical support to a failed respiratory system
how long can an ET tube stay in