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GUIDE • Mark Klimek’s Lecture
Lecture 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 Maternity Meds
Insipidus
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
Kernicterus
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Lecture 1 • Mark Klimek • 92:21
Acid/Base Balance (Start times: 30:00)
The first value to look at in an acid-
base
disorder is the pH
•HCO3 22 to 26
•If pH is <7.35, the acid-base imbalance
•If pH is <7.45, the acid-base imbalance
is acidotic
Now,is to
alkalotic
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
•pH 7.3 Acidotic
•HCO3 20 Metabolic
•This is an example of metabolic acidosis
Example #2
•pH 7.58 Alkalotic
•HCO3 32 Metabolic
•This is an example of metabolic alkalosis
Example #3
In•pH
order7.22 Acidosis
to solve acid-base disorders, it
is•HCO3 35 Respiratory
•This is an
important toexample
know theofnormal
respiratory
values
acidosis
for
pH, CO2 and HCO3 (bicarbonate), which
As
arethe pH goes,
shown below so goes my patient, except for Potassium … That means
•If
•pHpH7.35
is low, everything is low, except potassium
to 7.45
•If
•CO2pH is
35high,
to 45everything is high, except potassium
, Page 3 of 92
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GUIDE • Mark Klimek’s Lecture
Lecture 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 Maternity Meds
Insipidus
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
Kernicterus
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Lecture 1 • Mark Klimek • 92:21
Acid/Base Balance (Start times: 30:00)
The first value to look at in an acid-
base
disorder is the pH
•HCO3 22 to 26
•If pH is <7.35, the acid-base imbalance
•If pH is <7.45, the acid-base imbalance
is acidotic
Now,is to
alkalotic
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
•pH 7.3 Acidotic
•HCO3 20 Metabolic
•This is an example of metabolic acidosis
Example #2
•pH 7.58 Alkalotic
•HCO3 32 Metabolic
•This is an example of metabolic alkalosis
Example #3
In•pH
order7.22 Acidosis
to solve acid-base disorders, it
is•HCO3 35 Respiratory
•This is an
important toexample
know theofnormal
respiratory
values
acidosis
for
pH, CO2 and HCO3 (bicarbonate), which
As
arethe pH goes,
shown below so goes my patient, except for Potassium … That means
•If
•pHpH7.35
is low, everything is low, except potassium
to 7.45
•If
•CO2pH is
35high,
to 45everything is high, except potassium
, Page 3 of 92
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