NSG 223 Exam #2 Questions with
Correct Answers
Metabolic Acidosis: ABG interpretation
| | |
- low bicarbonate level less than 22 mEq/L and a low pH less than 7.35.
| | | | | | | | | | | | | | |
The cardinal feature is a decrease in the serum bicarbonate level.
| | | | | | | | | |
Metabolic Alkalosis: ABG interpretation
| | |
- pH greater than 7.45 and a serum bicarbonate concentration greater
| | | | | | | | | | |
than 26 |
Respiratory Acidosis: ABG interpretation
| | |
- pH is less than 7.35 and PaCO2 is greater than 45 and a compensatory
| | | | | | | | | | | | | | |
increases HCO3 |
,Respiratory Alkalosis: |
- pH is greater than 7.45 and the PaCO2 is less than 35
| | | | | | | | | | | |
Treatments for Metabolic Acidosis Medical Management:
| | | | |
- Give Bicarb
| |
- Chronic metabolic acidosis treat calcium levels first
| | | | | | |
- Avoid tetany
| |
- Watch for hypernatremia, hyperkalemia, and hypocalcemia
| | | | | |
Treatments for Metabolic Alkalosis Medical Management:
| | | | |
- Restore fluid volume
| | | |
,- Give electrolytes as needed (Sodium chloride and Potassium chloride)
| | | | | | | | |
- Give Tagamet
| |
- Hypokalemia- Urine Chloride, ID the cause
| | | | | |
Treatments for each ABG Imbalance: Acute Respiratory Acidosis
| | | | | | |
- Underlying cause
| |
- Bronchodilators
|
- BiPAP
|
Treatments for each ABG Imbalance: Chronic Respiratory Acidosis
| | | | | | |
- Antibiotics
|
- Diuretics
|
- Bronchodilators
|
- Corticosteroids
|
, - Mechanical ventilation
| |
Treatments for each ABG Imbalance: Respiratory Alkalosis
| | | | | |
- Breathe into a bag- raise CO2
| | | | | |
- Reassure patient
| |
- Pursed lip breathing
| | |
Acute and Chronic causes of the 4 imbalances: Metabolic Acidosis
| | | | | | | | |
- Build up of acid in the body due to kidney failure or disease
| | | | | | | | | | | | |
- Kidneys are unable to remove enough acid from your blood
| | | | | | | | | |
- Hypocalcemia
|
Acute and Chronic causes of the 4 imbalances: Metabolic Alkalosis
| | | | | | | | |
Correct Answers
Metabolic Acidosis: ABG interpretation
| | |
- low bicarbonate level less than 22 mEq/L and a low pH less than 7.35.
| | | | | | | | | | | | | | |
The cardinal feature is a decrease in the serum bicarbonate level.
| | | | | | | | | |
Metabolic Alkalosis: ABG interpretation
| | |
- pH greater than 7.45 and a serum bicarbonate concentration greater
| | | | | | | | | | |
than 26 |
Respiratory Acidosis: ABG interpretation
| | |
- pH is less than 7.35 and PaCO2 is greater than 45 and a compensatory
| | | | | | | | | | | | | | |
increases HCO3 |
,Respiratory Alkalosis: |
- pH is greater than 7.45 and the PaCO2 is less than 35
| | | | | | | | | | | |
Treatments for Metabolic Acidosis Medical Management:
| | | | |
- Give Bicarb
| |
- Chronic metabolic acidosis treat calcium levels first
| | | | | | |
- Avoid tetany
| |
- Watch for hypernatremia, hyperkalemia, and hypocalcemia
| | | | | |
Treatments for Metabolic Alkalosis Medical Management:
| | | | |
- Restore fluid volume
| | | |
,- Give electrolytes as needed (Sodium chloride and Potassium chloride)
| | | | | | | | |
- Give Tagamet
| |
- Hypokalemia- Urine Chloride, ID the cause
| | | | | |
Treatments for each ABG Imbalance: Acute Respiratory Acidosis
| | | | | | |
- Underlying cause
| |
- Bronchodilators
|
- BiPAP
|
Treatments for each ABG Imbalance: Chronic Respiratory Acidosis
| | | | | | |
- Antibiotics
|
- Diuretics
|
- Bronchodilators
|
- Corticosteroids
|
, - Mechanical ventilation
| |
Treatments for each ABG Imbalance: Respiratory Alkalosis
| | | | | |
- Breathe into a bag- raise CO2
| | | | | |
- Reassure patient
| |
- Pursed lip breathing
| | |
Acute and Chronic causes of the 4 imbalances: Metabolic Acidosis
| | | | | | | | |
- Build up of acid in the body due to kidney failure or disease
| | | | | | | | | | | | |
- Kidneys are unable to remove enough acid from your blood
| | | | | | | | | |
- Hypocalcemia
|
Acute and Chronic causes of the 4 imbalances: Metabolic Alkalosis
| | | | | | | | |
