RASMUSSEN - MDC III - FINAL EXAM
QUESTIONS AND ANSWERS
respiratory00alkalosis00-00ans-high00pH,00low00CO2
pH:007.35-7.4500acidic-basic
HCO3:0021-2800acidic-basic
CO2:0045-3500acidic-basic
metabolic00acidosis00-00ans-low00pH,00low00HCO3
pH:007.35-7.4500acidic-basic
HCO3:0021-2800acidic-basic
CO2:0045-3500acidic-basic
respiratory00acidosis00-00ans-low00pH,00high00CO2
pH:007.35-7.4500acidic-basic
HCO3:0021-2800acidic-basic
CO2:0045-3500acidic-basic
metabolic00alkalosis00-00ans-high00pH,00high00HCO3
pH:007.35-7.4500acidic-basic
HCO3:0021-2800acidic-basic
CO2:0045-3500acidic-basic
▪00change00in00condition00make00take00priority00over00ABCs00(ex:00post00op00bleeding00i
s00priority00over00an00O200Sat%00of0090%)
▪00pick00the00patient00that00is00going00to00die00first00-00ans-
Priority00questions...something00to00consider
CPR,00press00the00code00button00-00ans-
You00walk00into00your00patient's00room00and00they00*don't00have00a00pulse*,00what00are0
0you00going00to00do?
bag00resuscitation,00press00the00code00button00-00ans-
You00walk00into00your00patient's00room00and00they00are00*not00breathing00but00have00a00
pulse*,00what00are00you00going00to00do?
▪00unconscious,00pulseless
, ▪00shock00them00with00the00AED!00-00ans-
If00you00walk00into00a00room00with00a00patient00that00is00in00*ventricular00fibrillation00(v00fi
b)*
▪00How00will00they00present?
▪00What00must00we00do00to00get00them00out00of00that00state?
▪00make00them00bear00down00(valsalva00maneuver)
▪00make00them00cough00(vagal00maneuver)00-00ans-
If00you00walk00into00a00room00and00a00patient00is00alert00and00oriented,00speaking00to00y
ou,00has00a00pulse,00but00their00cardiac00monitor00shows00they00are00in00*ventricular00ta
chycardia*
▪00What00are00you00going00to00do?
Supraventricular00Tachycardia00(SVT)00-00ans-
Which00cardiac00rhythm00requires00the00patient00to00take00*adenosine*?
▪00they00may00end00up00with00a00*blood00clot*00because00the00blood00is00pooling00in00the
00atria00-00ans-
What00is00our00priority00concern00for00a00patient00in00*atrial00fibrillation00(a-fib)*?
*control00RVR00for00patient:*
▪00give00anticoagulants
▪00beta00blockers,00digoxin,00diltiazem
▪00if00meds00don't00work...cardioversion00(synchronized00shock00to00re-
start00the00rhythm)
▪00if00cardioversion00doesn't00work...ablation00-00ans-Nursing00Interventions:00*A-
fib00RVR*
▪00chest00pain
▪00SOB
▪00diaphoresis
▪00N/V
▪00hypertension
▪00tachycardia
▪00jaw00pain,00anxiety,00indigestion00(women)
▪00elevated00troponin00levels
▪00EKG00changes00-00ST00elevation00-00ans-
If00you00have00a00patient00who00comes00into00the00ED00and00they00are00having00an00MI,
00what00are00the00signs/symptoms?00lab00values00to00confirm00this?
*Oxygen*00-001st
*Nitro*00-
00given00sublingual,00300doses00q00500min00(home),00drip00(hospital),00drops00BP00(vaso
dilator)
QUESTIONS AND ANSWERS
respiratory00alkalosis00-00ans-high00pH,00low00CO2
pH:007.35-7.4500acidic-basic
HCO3:0021-2800acidic-basic
CO2:0045-3500acidic-basic
metabolic00acidosis00-00ans-low00pH,00low00HCO3
pH:007.35-7.4500acidic-basic
HCO3:0021-2800acidic-basic
CO2:0045-3500acidic-basic
respiratory00acidosis00-00ans-low00pH,00high00CO2
pH:007.35-7.4500acidic-basic
HCO3:0021-2800acidic-basic
CO2:0045-3500acidic-basic
metabolic00alkalosis00-00ans-high00pH,00high00HCO3
pH:007.35-7.4500acidic-basic
HCO3:0021-2800acidic-basic
CO2:0045-3500acidic-basic
▪00change00in00condition00make00take00priority00over00ABCs00(ex:00post00op00bleeding00i
s00priority00over00an00O200Sat%00of0090%)
▪00pick00the00patient00that00is00going00to00die00first00-00ans-
Priority00questions...something00to00consider
CPR,00press00the00code00button00-00ans-
You00walk00into00your00patient's00room00and00they00*don't00have00a00pulse*,00what00are0
0you00going00to00do?
bag00resuscitation,00press00the00code00button00-00ans-
You00walk00into00your00patient's00room00and00they00are00*not00breathing00but00have00a00
pulse*,00what00are00you00going00to00do?
▪00unconscious,00pulseless
, ▪00shock00them00with00the00AED!00-00ans-
If00you00walk00into00a00room00with00a00patient00that00is00in00*ventricular00fibrillation00(v00fi
b)*
▪00How00will00they00present?
▪00What00must00we00do00to00get00them00out00of00that00state?
▪00make00them00bear00down00(valsalva00maneuver)
▪00make00them00cough00(vagal00maneuver)00-00ans-
If00you00walk00into00a00room00and00a00patient00is00alert00and00oriented,00speaking00to00y
ou,00has00a00pulse,00but00their00cardiac00monitor00shows00they00are00in00*ventricular00ta
chycardia*
▪00What00are00you00going00to00do?
Supraventricular00Tachycardia00(SVT)00-00ans-
Which00cardiac00rhythm00requires00the00patient00to00take00*adenosine*?
▪00they00may00end00up00with00a00*blood00clot*00because00the00blood00is00pooling00in00the
00atria00-00ans-
What00is00our00priority00concern00for00a00patient00in00*atrial00fibrillation00(a-fib)*?
*control00RVR00for00patient:*
▪00give00anticoagulants
▪00beta00blockers,00digoxin,00diltiazem
▪00if00meds00don't00work...cardioversion00(synchronized00shock00to00re-
start00the00rhythm)
▪00if00cardioversion00doesn't00work...ablation00-00ans-Nursing00Interventions:00*A-
fib00RVR*
▪00chest00pain
▪00SOB
▪00diaphoresis
▪00N/V
▪00hypertension
▪00tachycardia
▪00jaw00pain,00anxiety,00indigestion00(women)
▪00elevated00troponin00levels
▪00EKG00changes00-00ST00elevation00-00ans-
If00you00have00a00patient00who00comes00into00the00ED00and00they00are00having00an00MI,
00what00are00the00signs/symptoms?00lab00values00to00confirm00this?
*Oxygen*00-001st
*Nitro*00-
00given00sublingual,00300doses00q00500min00(home),00drip00(hospital),00drops00BP00(vaso
dilator)
