Mark Klimek Lectures 1 to 12: The Guide.Latest (100% Best,Graded A)

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GUIDE11•11Mark11Klimek’s11Lectur
e


Lecture111— Acid-Base11Balance Dumping/HH
Ventilators Electrolytes:11K+,11CA,11M
G,
and11NA
Lecture112— Alcohol TX11for11HyperKalemia
Wernicke
Overdose11and11Withdrawal Lecture117— Thyroid11(Hyper-,11Hypo-)
S/Sx Adrenal11Cortex11(Addison
Aminoglycosides Disease,11Cushing)
Peak11and11Trough Toys
Laminectomy
Lecture113— Drug11Toxicities11(Lithium,
Lanoxin,11Dilantin,11Bilirubin, Lecture118— Lab11Values
Aminophylline) Five11Deadly11Ds
Kernicterus Neutropenic11Precaution
Dumping/HH
Electrolytes:11K+,11CA,11MG, Lecture119— Psych11Drugs
and11NA Tri
TX11for11HyperKalemia Benzo
MAOI
Lecture114— Crutches Lithium
Canes Prozac
Walkers Haldol
Delusions Clozaril
Hallucinations Zoloft
Psychosis
Psychotic11and11Non-Psychotic Lecture1110 Maternity11and11Neonatolog
— y
Hallucination
Illusion Lecture1111 Fetal11Complications
—
Delusion Stages11of11Labor
Assessments
Lecture115— Diabetes11Mellitus Variations11for11NB
Diabetes11Insipidus Maternity11Meds
SIADH Medication11Hints
Insulin Psych11Tips
DKA Operational11Stages
HHNK
Lecture1112 Prioritization
—
Lecture116— Drug11Toxicities11(Lithium, Delegation
Lanoxin,11Dilantin,11Bilirubin, Staff11Management
Aminophylline) Guessing11Strategies
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Kernicterus




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Lecture11111•11Mark11Klimek11•1192:
21


Acid/Base11Balance11(Start11times:1130:00)

In11order11to11solve11acid-
base11disorders,11it11is11important11to11kno
w11the11normal11values11for11pH,11CO211a
nd11HCO311(bicarbonate),11which11are11sh
own11below
 pH 7.3511to117.45
 CO2 3511to1145
 HCO3 2211to1126

The11first11value11to11look11at11in11an11acid
-base11disorder11is11the11pH
 If11pH11is11<7.35,11the11acid-
base11imbalance11is11acidotic
 If11pH11is11<7.45,11the11acid-
base11imbalance11is11alkalotic

Now,11to11determine11if11the11imbalance11is11metabolic11or11respiratory,11determine11whether11
HCO311goes11in11the11same11or11opposite11direction11with11pH
 Rule11of11the11Bs:11If11pH11and11Bicarb11move11both11in11the11same11direction,11then
11the11acid-base11imbalance11is11metabolic11…11Otherwise,11it11is11respiratory


Example11#1
 pH 7.3 Acidotic
 HCO3 20 Metabolic
 This11is11an11example11of11metabolic11acidosis

Example11#2
 pH 7.58 Alkalotic
 HCO3 32 Metabolic
 This11is11an11example11of11metabolic11alkalosis

Example11#3
 pH 7.22 Acidosis
 HCO3 35 Respiratory
 This11is11an11example11of11respiratory11acidosis

As11the11pH11goes,11so11goes11my11patient,11except11for11Potassium11…11That11means
 If11pH11is11low,11everything11is11low,11except11potassium
 If11pH11is11high,11everything11is11high,11except11potassium


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