MARK KLIMEK LECTURES 1 TO 12: THE GUIDE.LATEST (100% BEST,A GUIDE)

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MARK KLIMEK LECTURES 1 TO 12: THE GUIDE.LATEST
(100% BEST,A GUIDE)



1. pH & Bicarb - In Same Direction ANS >> Metabolic

2. pH & Bicarb - Opposite Directions ANS >> Respiratory

3. pH Value ANS >> 7.35-7.45

4. CO2 Value ANS >> 35-45

5. Bicarb Value ANS >> 22-26

6. As the pH goes.... ANS >> So goes my patient

- EXCEPT for K & MacKussmaul

7. Alkalosis Signs & Symptoms ANS >> Everything Goes Up

- Tachycardia, Tachypnea

- HTN, Seizures, Spastic, Hyperreflexia, Irritable

- Diarrhea, Borborygmi (increased bowel sounds)

- EXCEPT K --> Hypokalemia

8. Alkalosis - Nursing Intervention ANS >> Suctioning Due to Seizures

9. Acidosis Signs & Symptoms ANS >> Everything Goes Down
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- Bradycardia, Bradypnea, Low BP, Hyporreflexia

- Flaccid, Obtunded, Lethargy, Coma

- Constipation & Absent Bowel Sounds

- EXCEPT K --> Hyperkalemia

10. Acidosis - Nursing Intervention ANS >> Ventilation - Use of Ambu Bag -
Respiratory Arrest

11. MacKussmaul ANS >> Acid-Base Imbalance Causing Metabolic Acidosis

12. Lung = ANS >> Respiratory

13. Overventilation = ANS >> Respiratory Alkalosis

14. Underventilation = ANS >> Respiratory Acidosis

15. Metabolic Alkalosis - Risks ANS >> Prolonged Gastric Vomiting

- Suction!!!

16. Metabolic Acidosis - Risks ANS >> ALL Other Metabolic Problems

17. High Pressure Alarm - Causes ANS >> - Obstruction

- Kink

- Water in tube

- Mucus in airway

18. High Pressure Alarm - Nursing Intervention ANS >> - Unkink

- Empty Water Out of Tubing

- Turn Patient and/or Ask Them to Cough/Deep Breathe

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- Suction

19. Low Pressure Alarm - Causes ANS >> - Disconnection

- Disconnected 02 sensor




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20. Tube Disconnection - Nursing Intervention ANS >> - Reconnect Tube

- Bag Tube/Patient

- Call Respiratory Therapist

21. Comparison of Respiratory Alkalosis & Ventilation ANS >> Overventilation

22. Comparison of Respiratory Acidosis & Ventilation ANS >> Underventilation

23. Priorities Maslow ANS >> 1)
Physiological 2)Safety

3)Comfort
4)Psychological
5)Socialogical
6)Spiritual

24. #1 Problem in abuse ANS >> Denial — wont accept reality of problem

25. Denial Treatment ANS >> - Confront it

- Point out difference between what they say & do

26. Denial - From Loss ANS >> Support the patient

27. Grief stages ANS >> 1) Denial

2) Anger

3) bargaining

4) depression
5)Acceptance

28. 2nd biggest problem in abuse ANS >> Dependancy/Codependancy

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