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NUR2392 Multidimensional Care II Exam 2 Questions and Answers (100% Correct Answers) Already Graded A+

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NUR2392 Multidimensional Care II Exam 2 Questions and Answers (100% Correct Answers) Already Graded A+

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NUR2392 Multidimensional Care II Exam 2
Questions and Answers (100% Correct
Answers) Already Graded A+
Uncompensated [ANS:] pH and one other value is abnormal

Partial compensation [ANS:] pH, CO2, and HCO3 are all off

Full compensation [ANS:] pH is normal
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Acidosis [ANS:] reduces the excitability of cardiovascular muscle,
neurons, skeletal muscle, and smooth muscle.
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Alkalosis [ANS:] increases the sensitivity of excitable tissues allowing
them to OVERRESPOND without stimulation

ABG considerations [ANS:] - Assess cardiovascular w/ acidosis
(cardiac arrest from hyperkalemia)

- Assess neuro status

- Fall precautions

Bicarb HC03 [ANS:] kidney compensation (slow and powerful)

Respiratory PaC02 [ANS:] Respiratory compensation (fast but
limited)

Metabolic acidosis causes [ANS:] DKA, Starvation, diarrhea, kidney
failure, dehydration, liver failure, pancreatitis, heavy exercise,
seizure activity, fever, hypoxia, ischemia, ethanol/methanol
intoxication

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Metabolic acidosis signs and symptoms [ANS:] bradycardia,
hypotension, thready pulse, CNS depression, hyporeflexia, kussmal
resp (with resp compensation), warm, flushed, dry skin.

Metabolic acidosis treatment [ANS:] hydration and medication to
treat underlying problems (DKA - give insulin).

Metabolic alkalosis causes [ANS:] antacids, blood transfusion,
sodium bicarbonate, total parenteral nutrition (TPN), prolonged
vomiting, nasogastric suctioning, hypercortisolism,
hyperaldosteronism, Loop/Thiazide diuretics.
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Metabolic Alkalosis s/s [ANS:] anxiety, irritability, tetany, seizures,
POSITIVE CHVOSTEK, POSITIVE TROUSSEAU, parathesis,
hyperreflexia, muscle cramping/twitching, skeletal muscle
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weakness, Tachycardia, norm/low BP, increased Digoxin toxicity,
decreased respiratory effort (muscle weakness).

metabolic alkalosis treatment [ANS:] restore fluid/electrolyte
imbalances

Respiratory acidosis cause [ANS:] Opioids, anesthetics, electrolyte
imbalance, inadequate chest expansion, muscle weakness,
airway obstruction, alveolar-capillary block.

Respiratory acidosis s/s [ANS:] bradycardia, hypotension, thready
pulse, CNS depression, hyporeflexia, ineffective respirations, pale-
to-cyanotic dry skin.

Respiratory acidosis treatment [ANS:] (Assess airway) Improve gas
exchange, drug therapy (bronchodilators, anti-inflammatory),
oxygen therapy (lowest flow possible), ventilation.

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