RASMUSSEN - MDC III - FINAL EXAM
QUESTIONS AND ANSWERS
respiratory17alkalosis17-17ans-high17pH,17low17CO2
pH:177.35-7.4517acidic-basic
HCO3:1721-2817acidic-basic
CO2:1745-3517acidic-basic
metabolic17acidosis17-17ans-low17pH,17low17HCO3
pH:177.35-7.4517acidic-basic
HCO3:1721-2817acidic-basic
CO2:1745-3517acidic-basic
respiratory17acidosis17-17ans-low17pH,17high17CO2
pH:177.35-7.4517acidic-basic
HCO3:1721-2817acidic-basic
CO2:1745-3517acidic-basic
metabolic17alkalosis17-17ans-high17pH,17high17HCO3
pH:177.35-7.4517acidic-basic
HCO3:1721-2817acidic-basic
CO2:1745-3517acidic-basic
▪17change17in17condition17make17take17priority17over17ABCs17(ex:17post17op17bleeding17i
s17priority17over17an17O217Sat%17of1790%)
▪17pick17the17patient17that17is17going17to17die17first17-17ans-
Priority17questions...something17to17consider
CPR,17press17the17code17button17-17ans-
You17walk17into17your17patient's17room17and17they17*don't17have17a17pulse*,17what17are1
7you17going17to17do?
, bag17resuscitation,17press17the17code17button17-17ans-
You17walk17into17your17patient's17room17and17they17are17*not17breathing17but17have17a17
pulse*,17what17are17you17going17to17do?
▪17unconscious,17pulseless
▪17shock17them17with17the17AED!17-17ans-
If17you17walk17into17a17room17with17a17patient17that17is17in17*ventricular17fibrillation17(v17fi
b)*
▪17How17will17they17present?
▪17What17must17we17do17to17get17them17out17of17that17state?
▪17make17them17bear17down17(valsalva17maneuver)
▪17make17them17cough17(vagal17maneuver)17-17ans-
If17you17walk17into17a17room17and17a17patient17is17alert17and17oriented,17speaking17to17y
ou,17has17a17pulse,17but17their17cardiac17monitor17shows17they17are17in17*ventricular17ta
chycardia*
▪17What17are17you17going17to17do?
Supraventricular17Tachycardia17(SVT)17-17ans-
Which17cardiac17rhythm17requires17the17patient17to17take17*adenosine*?
▪17they17may17end17up17with17a17*blood17clot*17because17the17blood17is17pooling17in17the
17atria17-17ans-
What17is17our17priority17concern17for17a17patient17in17*atrial17fibrillation17(a-fib)*?
*control17RVR17for17patient:*
▪17give17anticoagulants
▪17beta17blockers,17digoxin,17diltiazem
▪17if17meds17don't17work...cardioversion17(synchronized17shock17to17re-
start17the17rhythm)
▪17if17cardioversion17doesn't17work...ablation17-17ans-Nursing17Interventions:17*A-
fib17RVR*
▪17chest17pain
▪17SOB
▪17diaphoresis
▪17N/V
▪17hypertension
▪17tachycardia
▪17jaw17pain,17anxiety,17indigestion17(women)
▪17elevated17troponin17levels
▪17EKG17changes17-17ST17elevation17-17ans-
If17you17have17a17patient17who17comes17into17the17ED17and17they17are17having17an17MI,
17what17are17the17signs/symptoms?17lab17values17to17confirm17this?
QUESTIONS AND ANSWERS
respiratory17alkalosis17-17ans-high17pH,17low17CO2
pH:177.35-7.4517acidic-basic
HCO3:1721-2817acidic-basic
CO2:1745-3517acidic-basic
metabolic17acidosis17-17ans-low17pH,17low17HCO3
pH:177.35-7.4517acidic-basic
HCO3:1721-2817acidic-basic
CO2:1745-3517acidic-basic
respiratory17acidosis17-17ans-low17pH,17high17CO2
pH:177.35-7.4517acidic-basic
HCO3:1721-2817acidic-basic
CO2:1745-3517acidic-basic
metabolic17alkalosis17-17ans-high17pH,17high17HCO3
pH:177.35-7.4517acidic-basic
HCO3:1721-2817acidic-basic
CO2:1745-3517acidic-basic
▪17change17in17condition17make17take17priority17over17ABCs17(ex:17post17op17bleeding17i
s17priority17over17an17O217Sat%17of1790%)
▪17pick17the17patient17that17is17going17to17die17first17-17ans-
Priority17questions...something17to17consider
CPR,17press17the17code17button17-17ans-
You17walk17into17your17patient's17room17and17they17*don't17have17a17pulse*,17what17are1
7you17going17to17do?
, bag17resuscitation,17press17the17code17button17-17ans-
You17walk17into17your17patient's17room17and17they17are17*not17breathing17but17have17a17
pulse*,17what17are17you17going17to17do?
▪17unconscious,17pulseless
▪17shock17them17with17the17AED!17-17ans-
If17you17walk17into17a17room17with17a17patient17that17is17in17*ventricular17fibrillation17(v17fi
b)*
▪17How17will17they17present?
▪17What17must17we17do17to17get17them17out17of17that17state?
▪17make17them17bear17down17(valsalva17maneuver)
▪17make17them17cough17(vagal17maneuver)17-17ans-
If17you17walk17into17a17room17and17a17patient17is17alert17and17oriented,17speaking17to17y
ou,17has17a17pulse,17but17their17cardiac17monitor17shows17they17are17in17*ventricular17ta
chycardia*
▪17What17are17you17going17to17do?
Supraventricular17Tachycardia17(SVT)17-17ans-
Which17cardiac17rhythm17requires17the17patient17to17take17*adenosine*?
▪17they17may17end17up17with17a17*blood17clot*17because17the17blood17is17pooling17in17the
17atria17-17ans-
What17is17our17priority17concern17for17a17patient17in17*atrial17fibrillation17(a-fib)*?
*control17RVR17for17patient:*
▪17give17anticoagulants
▪17beta17blockers,17digoxin,17diltiazem
▪17if17meds17don't17work...cardioversion17(synchronized17shock17to17re-
start17the17rhythm)
▪17if17cardioversion17doesn't17work...ablation17-17ans-Nursing17Interventions:17*A-
fib17RVR*
▪17chest17pain
▪17SOB
▪17diaphoresis
▪17N/V
▪17hypertension
▪17tachycardia
▪17jaw17pain,17anxiety,17indigestion17(women)
▪17elevated17troponin17levels
▪17EKG17changes17-17ST17elevation17-17ans-
If17you17have17a17patient17who17comes17into17the17ED17and17they17are17having17an17MI,
17what17are17the17signs/symptoms?17lab17values17to17confirm17this?
