Mark Klimek Acid base Questions And Answers With Latest Quiz
When it comes to acid base balances what do we look at first? - Answer-ph and bicarbonate as the _____ goes, so does my ______ - Answer-ph; patient bicarbonate normal range - Answer-22-26 ph normal range - Answer-7.35-7.45 pco2 normal range - Answer-35-45 When the ph goes __________, body ___________ - Answer-down; shuts down increased ph - Answer-alkalosis decreased ph - Answer-acidosis ph goes ________, body systems in the body get __________ - Answer-up; hyperexcitable as the ph goes, so does my patient EXCEPT FOR - Answer-potassium alkalosis s/s - Answer-irritability hyperreflexic tachypnea tachycardia borborygoniborborygoni - Answer-increased bowel sounds alkalosis = - Answer-seizures acidosis s/s - Answer-hyporeflexia bradycardia lethargy obtunded acidosis= - Answer-coma (respiratory arrest) MACkussmals - Answer-kussmals respirations only seen in metabolic acidosis overventilation - Answer-alkalosis underventilation - Answer-acidosis when it comes to ventilation ________ does not matter - Answer-respiratory rate only 1 scenario for metabolic alkalosis and it is.... - Answer-prolonged vomiting and suctioning If a patient is on a PCA pump, and a decreased respiratory rate is noticed. The patient needs off the pump because they are going into _______________ - Answer-Respiratory acidosis For everything else (condition) that isn't the lung always pick - Answer-metabolic acidosis high pressure alarm (vent) - Answer-working too hard (obstruction) high pressure alarm steps - Answer-1. check for kinks2. water condensation in the tube, empty it 3. mucus in the airway: turn/cough/deep breathe 4. suction (last resort) low pressure alarm (vent) - Answer-too easy (disconnection) low pressure alarm steps - Answer-1. main tubing: reconnect 2. o2 sensor tubing (senses fio2 at the trachea area): reconncet translate respiratory alkalosis to ventilating over - Answer-settings are too high translate respiratory acidosis to ventilating under - Answer-settings are too low
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