RASMUSSEN - MDC III - FINAL EXAM
COMPLETE DETAILED CASE STUDY
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
metabolic acidosis - low pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
respiratory acidosis - low pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
metabolic alkalosis - high pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
, ▪ change in condition make take priority over ABCs (ex: post op bleeding is priority over an O2 Sat% of
90%)
▪ pick the patient that is going to die first - Priority questions...something to consider
CPR, press the code button - You walk into your patient's room and they *don't have a pulse*, what are
you going to do?
bag resuscitation, press the code button - You walk into your patient's room and they are *not breathing
but have a pulse*, what are you going to do?
▪ unconscious, pulseless
▪ shock them with the AED! - If you walk into a room with a patient that is in *ventricular fibrillation (v
fib)*
▪ How will they present?
▪ What must we do to get them out of that state?
▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver) - If you walk into a room and a patient is alert and oriented,
speaking to you, has a pulse, but their cardiac monitor shows they are in *ventricular tachycardia*
▪ What are you going to do?
Supraventricular Tachycardia (SVT) - Which cardiac rhythm requires the patient to take *adenosine*?
▪ they may end up with a *blood clot* because the blood is pooling in the atria - What is our priority
concern for a patient in *atrial fibrillation (a-fib)*?
*control RVR for patient:*
▪ give anticoagulants
COMPLETE DETAILED CASE STUDY
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
metabolic acidosis - low pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
respiratory acidosis - low pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
metabolic alkalosis - high pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
, ▪ change in condition make take priority over ABCs (ex: post op bleeding is priority over an O2 Sat% of
90%)
▪ pick the patient that is going to die first - Priority questions...something to consider
CPR, press the code button - You walk into your patient's room and they *don't have a pulse*, what are
you going to do?
bag resuscitation, press the code button - You walk into your patient's room and they are *not breathing
but have a pulse*, what are you going to do?
▪ unconscious, pulseless
▪ shock them with the AED! - If you walk into a room with a patient that is in *ventricular fibrillation (v
fib)*
▪ How will they present?
▪ What must we do to get them out of that state?
▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver) - If you walk into a room and a patient is alert and oriented,
speaking to you, has a pulse, but their cardiac monitor shows they are in *ventricular tachycardia*
▪ What are you going to do?
Supraventricular Tachycardia (SVT) - Which cardiac rhythm requires the patient to take *adenosine*?
▪ they may end up with a *blood clot* because the blood is pooling in the atria - What is our priority
concern for a patient in *atrial fibrillation (a-fib)*?
*control RVR for patient:*
▪ give anticoagulants
