NUR2392 Multidimensional Care II Exam 2 questions and answers

NUR2392 Multidimensional Care II Exam 2 |\ |\ |\ |\ |\ |\




questions and answers |\ |\




Uncompensated - CORRECT ANSWERS ✔✔pH and one other value |\ |\ |\ |\ |\ |\ |\ |\ |\



is abnormal
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Partial compensation - CORRECT ANSWERS ✔✔pH, CO2, and HCO3
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are all off
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Full compensation - CORRECT ANSWERS ✔✔pH is normal
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Acidosis - CORRECT ANSWERS ✔✔reduces the excitability of
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cardiovascular muscle, neurons, skeletal muscle, and smooth |\ |\ |\ |\ |\ |\ |\



muscle.


Alkalosis - CORRECT ANSWERS ✔✔increases the sensitivity of
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excitable tissues allowing them to OVERRESPOND without
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stimulation


ABG considerations - CORRECT ANSWERS ✔✔- Assess
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cardiovascular w/ acidosis (cardiac arrest from hyperkalemia) |\ |\ |\ |\ |\ |\




- Assess neuro status
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- Fall precautions
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, Bicarb HC03 - CORRECT ANSWERS ✔✔kidney compensation (slow
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and powerful)
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Respiratory PaC02 - CORRECT ANSWERS ✔✔Respiratory
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compensation (fast but limited) |\ |\ |\




Metabolic acidosis causes - CORRECT ANSWERS ✔✔DKA,
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Starvation, diarrhea, kidney failure, dehydration, liver failure,
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pancreatitis, heavy exercise, seizure activity, fever, hypoxia,
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ischemia, ethanol/methanol intoxication
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Metabolic acidosis signs and symptoms - CORRECT ANSWERS
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✔✔bradycardia, hypotension, thready pulse, CNS depression, |\ |\ |\ |\ |\ |\



hyporeflexia, kussmal resp (with resp compensation), warm,
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flushed, dry skin. |\ |\




Metabolic acidosis treatment - CORRECT ANSWERS ✔✔hydration
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and medication to treat underlying problems (DKA - give insulin).
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Metabolic alkalosis causes - CORRECT ANSWERS ✔✔antacids,
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blood transfusion, sodium bicarbonate, total parenteral nutrition
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(TPN), prolonged vomiting, nasogastric suctioning,
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hypercortisolism, hyperaldosteronism, Loop/Thiazide diuretics. |\ |\ |\




Metabolic Alkalosis s/s - CORRECT ANSWERS ✔✔anxiety,
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irritability, tetany, seizures, POSITIVE CHVOSTEK, POSITIVE
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TROUSSEAU, parathesis, hyperreflexia, muscle |\ |\ |\



cramping/twitching, skeletal muscle weakness, Tachycardia,
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