Nursing 120 Introduction to Med Surg Final Exam Guide 2023

Nursing 120 Introduction to Med Surg Final Exam Guide 2023. ABG Interpretation: - Throwing up, metabolic alkalosis - Flu, metabolic alkalosis - Main sign of metabolic alkalosis: tingling and numbing sensation, typically fingers and toes - Diarrhea, metabolic acidosis pH 7.35-7.45 PCO2 35-45 (resp) HCO3 22-26 (met) PaCO2 35-45 mm Hg Pa02 88-100 mm Hg SaO2 > 95% 2. Chest Pain: Nursing Action - LAB Tests: o Troponin I & troponin T o CPK/CKMB o Myoglobin  Purpose: cardiac biomarkers are released into circulation and they determine the degree of damage to the heart  why was blood drawn? 3. Patient Suctioning: - Suction 2-3 times on the way out - 60 seconds pauses between each pass - Sterile unless on ventilator o If heart rate drops, stop suctioning o Apply O2 if needed 4. Patient with High Fever – Nursing Intervention: - Infection - High WBC 5,000-10,000 - Neutropenia – low WBC - 16,000 acute infection process 5. Patient with Metabolic Syndrome – Patient teaching: - Educate normal weight maintenance - Diet and exercise