Page 1 of 92Mark Klimeck Lectures 1 to 12; The Guide Latest (100% Best Graded A) Page 2 of 92Lecture 1—Acid-Base Balance Dumping/HH
Ventilators Electrolytes: K+, CA, MG,
and NA
Lecture 2—Alcohol TX for HyperKalemia
Wernicke
Overdose and Withdrawal Lecture 7—Thyroid (Hyper-, Hypo-)
S/Sx Adrenal Cortex (Addison
Aminoglycosides Disease, Cushing)
Peak and Trough Toys
Laminectomy
Lecture 3—Drug Toxicities (Lithium,
Lanoxin, Dilantin, Bilirubin,Lecture 8—Lab Values
Aminophylline) Five Deadly Ds
Kernicterus Neutropenic Precaution
Dumping/HH
Electrolytes: K+, CA, MG,Lecture 9—Psych Drugs
and NA Tri
TX for HyperKalemia Benzo
MAOI
Lecture 4—Crutches Lithium
Canes Prozac
Walkers Haldol
Delusions Clozaril
Hallucinations Zoloft
Psychosis
Psychotic and Non-Psychotic Lecture 10—Maternity and Neonatology
Hallucination
Illusion Lecture 11—Fetal Complications
Delusion Stages of Labor
Assessments
Lecture 5—Diabetes Mellitus Variations for NB
Diabetes Insipidus Maternity Meds
SIADH Medication Hints
Insulin Psych Tips
DKA Operational Stages
HHNK
Lecture 12—Prioritization
Lecture 6—Drug Toxicities (Lithium, Delegation
Lanoxin, Dilantin, Bilirubin, Staff Management
Aminophylline) Guessing Strategies
KernicterusGUIDE • Mark Klimek’s Lecture Mark Klimek Lectures 1 to 12
Page 3 of 92 Mark Klimek Lectures 1 to 12
Page 4 of 92Acid/Base Balance (Start times: 30:00)
In order to solve acid-base disorders, it is
important to know the normal values for pH, CO2 and HCO3 (bicarbonate), which
are shown below
pH7.35 to 7.45
CO235 to 45
HCO322 to 26
The first value to look at in an acid-
base disorder is the pH
If pH is <7.35, the acid-base imbalance is acidotic
If pH is <7.45, the acid-base imbalance is alkalotic
Now, to determine if the imbalance is metabolic or respiratory, determine whether HCO3 goes
in the same or opposite direction with pH
Rule of the Bs: If pH and Bicarb move both in the same direction, then the acid-
base imbalance is metabolic … Otherwise, it is respiratory
Example #1
pH7.3Acidotic
HCO320Metabolic
This is an example of metabolic acidosis
Example #2
pH7.58Alkalotic
HCO332Metabolic
This is an example of metabolic alkalosis
Example #3
pH7.22Acidosis
HCO335Respiratory
This is an example of respiratory acidosis
As the pH goes, so goes my patient, except for Potassium … That means
If pH is low, everything is low, except potassium
If pH is high, everything is high, except potassium
Lecture 1 • Mark Klimek • 92:21
Ventilators Electrolytes: K+, CA, MG,
and NA
Lecture 2—Alcohol TX for HyperKalemia
Wernicke
Overdose and Withdrawal Lecture 7—Thyroid (Hyper-, Hypo-)
S/Sx Adrenal Cortex (Addison
Aminoglycosides Disease, Cushing)
Peak and Trough Toys
Laminectomy
Lecture 3—Drug Toxicities (Lithium,
Lanoxin, Dilantin, Bilirubin,Lecture 8—Lab Values
Aminophylline) Five Deadly Ds
Kernicterus Neutropenic Precaution
Dumping/HH
Electrolytes: K+, CA, MG,Lecture 9—Psych Drugs
and NA Tri
TX for HyperKalemia Benzo
MAOI
Lecture 4—Crutches Lithium
Canes Prozac
Walkers Haldol
Delusions Clozaril
Hallucinations Zoloft
Psychosis
Psychotic and Non-Psychotic Lecture 10—Maternity and Neonatology
Hallucination
Illusion Lecture 11—Fetal Complications
Delusion Stages of Labor
Assessments
Lecture 5—Diabetes Mellitus Variations for NB
Diabetes Insipidus Maternity Meds
SIADH Medication Hints
Insulin Psych Tips
DKA Operational Stages
HHNK
Lecture 12—Prioritization
Lecture 6—Drug Toxicities (Lithium, Delegation
Lanoxin, Dilantin, Bilirubin, Staff Management
Aminophylline) Guessing Strategies
KernicterusGUIDE • Mark Klimek’s Lecture Mark Klimek Lectures 1 to 12
Page 3 of 92 Mark Klimek Lectures 1 to 12
Page 4 of 92Acid/Base Balance (Start times: 30:00)
In order to solve acid-base disorders, it is
important to know the normal values for pH, CO2 and HCO3 (bicarbonate), which
are shown below
pH7.35 to 7.45
CO235 to 45
HCO322 to 26
The first value to look at in an acid-
base disorder is the pH
If pH is <7.35, the acid-base imbalance is acidotic
If pH is <7.45, the acid-base imbalance is alkalotic
Now, to determine if the imbalance is metabolic or respiratory, determine whether HCO3 goes
in the same or opposite direction with pH
Rule of the Bs: If pH and Bicarb move both in the same direction, then the acid-
base imbalance is metabolic … Otherwise, it is respiratory
Example #1
pH7.3Acidotic
HCO320Metabolic
This is an example of metabolic acidosis
Example #2
pH7.58Alkalotic
HCO332Metabolic
This is an example of metabolic alkalosis
Example #3
pH7.22Acidosis
HCO335Respiratory
This is an example of respiratory acidosis
As the pH goes, so goes my patient, except for Potassium … That means
If pH is low, everything is low, except potassium
If pH is high, everything is high, except potassium
Lecture 1 • Mark Klimek • 92:21
