NUR2392 MULTIDIMENSIONAL CARE II EXAM 2 Q AND A

TestvmBankvmForvmDewitsvmFundamentalvmConceptsvmAndvmSkillsvmForvmNursing 7thvmEditionvmBy
5r


vmWilliams v m 1
5r




NUR2392 MULTIDIMENSIONAL CARE II
EXAM 2 Q AND A

Uncompensatedvm-vmanswer--pHvmandvmonevmothervmvaluevmisvmabnormal

Partialvmcompensationvm-vmanswer--pH,vmCO2,vmandvmHCO3vmarevmallvmoff

Fullvmcompensationvm-vmanswer--pHvmisvmnormal

Acidosisvm-vmanswer--
reducesvmthevmexcitabilityvmofvmcardiovascularvmmuscle,vmneurons,vmskeletalvmmuscle,vmandvmsmoo
thvmmuscle.

Alkalosisvm-vmanswer--
increasesvmthevmsensitivityvmofvmexcitablevmtissuesvmallowingvmthemvmtovmOVERRESPONDvmwithou
tvmstimulation

ABGvmconsiderationsvm-vmanswer---vmAssessvmcardiovascularvmw/
vmacidosisvm(cardiacvmarrestvmfromvmhyperkalemia)

-vmAssessvmneurovmstatus
-vmFallvmprecautions

BicarbvmHC03vm-vmanswer--kidneyvmcompensationvm(slowvmandvmpowerful)

RespiratoryvmPaC02vm-vmanswer--Respiratoryvmcompensationvm(fastvmbutvmlimited)

Metabolicvmacidosisvmcausesvm-vmanswer--
DKA,vmStarvation,vmdiarrhea,vmkidneyvmfailure,vmdehydration,vmlivervmfailure,vmpancreatitis,vmheavyv
mexercise,vmseizurevmactivity,vmfever,vmhypoxia,vmischemia,vmethanol/methanolvmintoxication



Metabolicvmacidosisvmsignsvmandvmsymptomsvm-vmanswer--
bradycardia,vmhypotension,vmthreadyvmpulse,vmCNSvmdepression,vmhyporeflexia,vmkussmalvmrespvm
(withvmrespvmcompensation),vmwarm,vmflushed,vmdryvmskin.

Metabolicvmacidosisvmtreatmentvm-vmanswer--
hydrationvmandvmmedicationvmtovmtreatvmunderlyingvmproblemsvm(DKAvm-vmgivevminsulin).

Metabolicvmalkalosisvmcausesvm-vmanswer--
antacids,vmbloodvmtransfusion,vmsodiumvmbicarbonate,vmtotalvmparenteralvmnutritionvm(TPN),vmprolo
ngedvmvomiting,vmnasogastricvmsuctioning,vmhypercortisolism,vmhyperaldosteronism,vmLoop/
Thiazidevmdiuretics.

MetabolicvmAlkalosisvms/svm-vmanswer--
anxiety,vmirritability,vmtetany,vmseizures,vmPOSITIVEvmCHVOSTEK,vmPOSITIVEvmTROUSSEAU,vm
parathesis,vmhyperreflexia,vmmusclevmcramping/

, TestvmBankvmForvmDewitsvmFundamentalvmConceptsvmAndvmSkillsvmForvmNursing 7thvmEditionvmBy
5r


vmWilliams v m 2
5r


twitching,vmskeletalvmmusclevmweakness,vmTachycardia,vmnorm/
lowvmBP,vmincreasedvmDigoxinvmtoxicity,vmdecreasedvmrespiratoryvmeffortvm(musclevmweakness).

metabolicvmalkalosisvmtreatmentvm-vmanswer--restorevmfluid/electrolytevmimbalances

Respiratoryvmacidosisvmcausevm-vmanswer--
Opioids,vmanesthetics,vmelectrolytevmimbalance,vminadequatevmchestvmexpansion,vmmusclevmweakn
ess,vmairwayvmobstruction,vmalveolar-capillaryvmblock.

Respiratoryvmacidosisvms/svm-vmanswer--
bradycardia,vmhypotension,vmthreadyvmpulse,vmCNSvmdepression,vmhyporeflexia,vmineffectivevmresp
irations,vmpale-to-cyanoticvmdryvmskin.

Respiratoryvmacidosisvmtreatmentvm-vmanswer--
(Assessvmairway)vmImprovevmgasvmexchange,vmdrugvmtherapyvm(bronchodilators,vmanti-
inflammatory),vmoxygenvmtherapyvm(lowestvmflowvmpossible),vmventilation.

Respiratoryvmalkalosisvmcausevm-vmanswer--
Hyperventilationvm(fear,vmanxiety),vmmechanicalvmventilation,vmsalicylatevmtoxicity,vmhighvmaltitudes,
vmearly-stagevmacutevmpulmonaryvmissues.



respiratoryvmalkalosisvms/svm-vmanswer--
anxiety,vmirritability,vmtetany,vmseizures,vmPOSITIVEvmCHVOSTEK,vmPOSITIVEvmTROUSSEAUvm(
hypocalcemia),vmparathesis,vmhyperreflexia,vmmusclevmcramping/
twitching,vmskeletalvmmusclevmweakness,vmTachycardia,vmnorm/
lowvmBP,vmincreasedvmDigoxinvmtoxicity,vmhyperventilation

respiratoryvmalkalosisvmtreatmentvm-vmanswer--restorevmfluid/electrolytevmimbalances

Howvmdovmacid/basevmimbalancesvmaffectvmelectrolytesvm-vmanswer---
vmPotassiumvmlevelsvmincreasevminvmacidosisvmasvmthevmbodyvmattemptsvmtovmmaintainvmelectroneutr

alityvmduringvmbuffering.
-vmPotassiumvmisvmelevatedvminvmacutevmrespiratoryvmacidosisvmandvmnormal/
lowvminvmchronicvmrespiratoryvmacidosisvmwhenvmkidneyvmcompensationvmisvmpresent
-vmAlkalosisvm=vmhypocalcemiavmandvmhypokalemia
-vmAcidosisvm=vmHYPERkalemia

alkalosisvm-vmanswer--hypocalcemiavmandvmhypokalemia

acidosisvm-vmanswer--HYPERkalemia

UppervmGIvmconsistsvmofvm-vmanswer--mouth,vmpharynx,vmesophagus,vmstomach,vmandvmduodenum.

Barret'svmEpitheliumvm-vmanswer--
premalignant;vmcolumnarvmepitheliumvmthatvmdevelopsvminvmlowervmesophagus

Zollinger-Ellisonvmsyndromevm(dumpingvmsyndrome)vm-vmanswer--
happensvminvmPTvmwithvmgastrectomy,vmfromvmrapidvmemptyingvmofvmfoodvmcontentsvmintovmthevmsma
llvmintestine.