Floyyd

Rule of the B's: If the and the are in the same direction then it is meta pH, Bicarb, Both, Bolic pH 7.30 HCO3 20 ↓= acidosis; ↓= metabolic pH 7.58 HCO3 32 ↑= alkalosis; ↑= metabolic pH 7.22 HCO3 30 ↓= acidosis; ↑= respiratory MacKussmaul The only acid base to cause Kussmaul respirations is Metabolic ACidosis Compensation only the pH Changes pH 7.42 HCO3 19 ↑= compensated alkalosis ↓= respiratory ...

Diabetes Diabetes – you don’t metabolize your glucose right. Due to lack of insulin or cells become resistant to insulin. Type 1 Diabetes Vs. Type 2 Diabetes • Type 1 o Insulin dependent o Juvenile onset o Ketosis Prone (makes ketones) • Type 2 o Non insulin dependent o Adult onset o Non ketosis prone • S/s o Polyuria o Polydipsia (increased thirst) o Polyphagia (increased hunger) Treatment • Type 1 – insulin, exercise, diet (in order of importance) • Type 2 ...

As pH goes, so does my Pt! Except for K pH ↓ Pt goes ↓ (HR, RR, all vitals) K goes ↑ pH ↑ Pt goes ↑ K goes ↓ Except for K – it does the opposite pH ↑ : Alkalosis • Seizures, hyperactivity, borborgemy (↑BS) Kausmal breathing = MacKausamal (Metabolic Acidosis breathing) Lung: Respiratory Everything else: Metabolic When you don’t know: it’s probably metabolic acidosis (It’s super common) Ventilators High Pressure Alarm • Obstructed airfl...

- It takes 3 things to pass the NCLEX exam - Knowledge - Confidence - Exam Proficiency - You can’t apply what you don't know, but you have to be able to apply what you do know. - Go with majority: if something is 75% fatal, consider it fatal. - If you try to learn everything you will master nothing. Lecture 3 Cardiac Medications, Cardiac rhythms, Chest tubes, Newborn Heart Defects, Isolation Precautions Cardiac Medications - Calcium Channel Blockers: - Calcium channel bl...

Lab Values: DEADLY DANGEROUS: • Elevated K+ ( >6) - Hold K+, Assess heart, Prepare Kayexalate/D5W, Call Dr. • Elevated pH ( >6) - Assess Vitals, Call doctor • CO2 in the 60’s - Assess Resp., Do purse lip breathing, prepare to intubate and ventilate, Call Resp. Therapy, Call Dr. • PO2 < 60’s - Assess Resp., Give O2, Prepare to intubate and ventilate, Call resp. therapy, Call Dr. • Platelets < 40,000 - Assess for bleeding, Place on Bleeding precautions, pre...

Interpreting blood gases (remember the rules of the B’s) • If the pH and the bicarb are both in the same direction then it’s metaBolic (Bicarb Both Bolic), if they are in different directions then it is respiratory • If bicarb is normal and the pH is low or high then its respiratory • You will be given 8 values for arterial blood gas, always first look at the pH and the bicarb first • You get acidosis and alkalosis from the pH LABS: ABG’s The normal pH is 7.35-7.45 ...

PRACTICE QUESTIONS A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia B. Reinforcing teaching w/a client who is learning to walk using a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying a sterile dressing to a pressure ulcer Rationale: The a...

My Week 2 Case Discussion Pulmonary Part 2 follow up Visit physical exam and new diagnoses. Initial post includes the most likely diagnosis/specific treatment plan given case study information supported by rationale and answers all questions presented in the case. Demonstrates course knowledge/assigned readings by: linking tests/interventions accurately to diagnoses, applies learned knowledge specifically to the symptoms and patient information using original dialogue ********************...

1. A patient receiving antibiotics for the treatment of a bacterial wound infection develops a secondary fungal infection. The patient asks you to explain why the fungal infection developed. What is your best response? a. “Antibiotics can upset the balance of normal flora and allow yeast or fungus to grow.” b. “Antibiotic resistance has allowed the bacteria in your wound to become a fungus.” c. “Genetic changes induced by antibiotics lead to this fungal infection.” d. “There is...

Question 1 1/1 A The symphysis . pubis B The umbilicus . C The xiphoid . process D None of the . above Question 2 0/1 A Menarche after the age of 12 . B Nulliparity . C Menopause at age 55 years or . older D First full-term pregnancy after . age 30 Question 3 1/1 A E. Coli . B Toxoplasmosis . C Cat-scratch . fever D Tetanus . Question 4 1/1 A The need for daily pill taking . B The ongoing cost of the method for some . individuals C...

Chapter 5 The nutrient that provides the densest energy source is a. fat. b. protein. c. alcohol. d. carbohydrate. A Sex hormones, bile, and vitamin D are formed in the body from a. sterols. b. triglycerides. c. phospholipids. d. chylomicrons. A If a patient receiving fat-free parenteral nutrition develops eczema, the patient may have a. vitamin C deficiency. b. essential fatty acid deficiency. c. protein-energy malnutrition. d. phospholipid and sterol deficiency. B Hyd...

Exam 1 1. Testbank Ch38#8: A client is in the preoperative holding area prior to an emergency coronary artery bypass graft (CABG). The client is yelling at family members and tells the doctor to just get this over with when asked to sign the consent form. What action by the nurse is best? a. Ask the family members to wait in the waiting area. b. Inform the client that this behavior is unacceptable. c. Stay out of the room to decrease the clients stress levels. d. Tell the client that anxiet...

hello, how are you feeling? Greet 07/21/20 12:03 PM PDT Edward Carter Hello. Your avatar my name is Tim, i'll be your nursing today Question 07/21/20 12:04 PM PDT Edward Carter Hello there. It is nice to meet you. [AUDIO COMING SOON] Your avatar can you tell me what's going on? Question 07/21/20 12:04 PM PDT Edward Carter I woke up with this terrible pain in my hips and knees this morning, then it was like my joints just gave out on me and I fell. I hit my back when I fell too. Your avata...

RECORDING THE HISTORY AND PE • Organizational structure for recording the history and physical examination of newborns and infants is the same as for adults • Recorded information varies from the adult’s primarily because of the developmental status of the infant • In newborns, the focus is on the transition to extrauterine life and the detection of any congenital anomalies Additional HISTORY for INFANTS • Present problem o Newborns include the details of the mother’s pre...

acoustic stethoscopes. With this type, the stethoscope’s head picks up sounds that are transmitted through hollow tubing to your ears. Many stethoscopes have rotating heads, thus you can listen either with the diaphragm, which is better for listening to high-pitched sounds, or with the bell, which is useful for hearing low-pitched sounds. Stethoscope tubing that is thick, fairly heavy, and no longer than 18 inches is best for transmitting sound. The earpieces are attached to bendable metal tub...

Microbiology: An Introduction, 12e (Tortora) Chapter 20 Antimicrobial Drugs 20.1 Multiple-Choice Questions 1) Penicillin was considered a miracle drug for all of the following reasons EXCEPT A) it was the first antibiotic. B) it does not affect eukaryotic cells. C) it inhibits gram-positive cell wall synthesis. D) it has selective toxicity. E) it kills bacteria. Answer: A Section: 20.1 Blooms Taxonomy: Comprehension ASMcue Outcome: 6.3 Learning Outcome: 20.1 Global Out...

MULTIPLE CHOICE QUESTIONS 1. wrote Republic. A) Aristotle B) Plato C) Hans J. Morgenthau D) Niccolo Machiavelli Answer: B Learning Objective: 2.1 Page Ref: 21 Topic/A-head: Classic Theories Skill Level: Remember the Facts 2. Plato and Aristotle were from . A) Great Britain B) Italy C) Greece D) Egypt Answer: C Learning Objective: 2.1 Page Ref: 21 Topic/A-head: Classic Theories Skill Level: Remember the Facts 3. Aristotle argued that the best political communi...

1. Which of the following cells produce new bone? a. Osteocytes b. Osteoblasts c. Osteoclasts d. Stem cells from the bone marrow ANS: B REF: 159 2. What is the chemical transmitter released at the neuromuscular junction? a. Norepinephrine b. GABA c. Serotonin d. Acetylcholine ANS: D REF: 161 3. What are the two types of bone tissue? b. Spongy and calcified c. Compact and cancellous d. Dense and pliable A...

Use of Personal Communication Devices in Patient Care Settings (graded) How can the use of the nurse's personal communication devices impact patient care either positively or negatively? Are there ethical and legal implications? Locate an article and share a brief summary of that article with your classmates. Respond This section lists options that can be used to view responses. Collapse All Print View Show Options Responses Responses are listed below in the following order: re...

Chapter 18- Breasts & Regional Lymphatics ● Risk Factors: - Psychological: stress, depression, and fatigue can cause a decrease in sexual desire for both men and women. - Abuse: There are many type of abuse, including sexual assault, that can influence a patients reproductive health. - Body image: Both men’s and women’s sexuality is driven in part by their views of their body. - Social interactions: Engaging in sexual activities with multiple partners and having unprotected sex can be...