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MARK K REVIEW 1 / 4
AUDIBASEBALANCECABG
's ) i)ifthepHandBICARBCHLO3) ii) arebothinthesamedirection(up ordown) iii) thenitismetabolic(different = respiratory ) pH
VALUES
:pH
M (alkalosis) pH Iv ( acidosis) NormalpH
:
7.35 - 745 .tachycardia - bradycardia NormalHC03
:
22-26 .tachypnea .brady pnen Pa02
:
80 - 100mmHg .diarrhea .hypotension PaCo2
:
35 - 45mmHg - tremors .anorexia sa02
:
95 - 10040 .seizure .coma .hyperreflexin - lethargy - hypertension .cardiacarrest • "Macknssmal "→ deep Ilabouredbreathing - M .A .c = metabolicacidosis
CAUSES
OFACID
-
BASEIMBALANCES
a) " Isitlung ?" .Ifyes - respiratory b) " over ventilating 1 under ventilating ?" .over ventilating ' underventilating alkalosis acidosis c)ifnotlung , thenit's metabolic ' prolongedgastricvomiting 1 suction ,pickmetabolicalkalosis d) ifnoneofthese
:
metabolicacidosis 2 / 4
1)ALCOHOLISM
* prioritizeMaslow 6
6)SPIRITUAL
selfactualization s s )SOCIALrespect , status 4
4)PSYCHOLOGICAL
selfesteem 3 3)COMFORTfriends , intimacy
- 2)SAFETYsecurity
lsafety I 1)PHYSIOLOGICALfoodIwater A)HIpsephological probleminabuseisDENIAL( can apply todrugs , childabuse , etc ) i)refusaltoaccepttherealityoftheirproblem ii)TREATMENT
:
confronttheperson( whattheysayvs .do) - supportthedenialofloss 1 grief(normal & healthy !) b)DEPENDENCY160DEPENDENCY(neutral 1 noharm) isdependency
:
whentheabusergets theS/Otodothings Imakedecisionsforthem Ii) co - dependency
:
whentheS/Oderivespositive self - esteemfromdoingthings forthem ex .) '' callmyboss , telltheml'msick!" (dependent) " nooneelsewoulddothisforyou!" Clo - dependent) iii)TREATMENT
:
set boundaries andenforcethem(say no !!) &workon self - esteemoftheco - dependent C)MANIPULATION(harmful 1 dangerous!) itwhen theabusergetstheS10todo thingsthat are dangerous /harmful ii)TREATMENT
:
setlimitsandenforce(easiertotreatthan dependency) 2)Wernicke 's (Korsakoff 's )syndrome a)psychosisinducedbyB1(thiamine)deficiency b)primarysymptom
:
amnesiawithconfabulation (making upstories - believed asTRUE ) C) Characteristics
:
i)preventable → giveB1vitamins iisarrestable → canstopfromgetting worseiii )irreversible → dementiasymptoms get worse 3 / 4
3)ANTABUSEIRENA
a)Disulfiram(makesthemsickafterdrinking) b)Aversiontherapy( badassociationw/alcohol) c)OnsetIdurationofeffectiveness
:
2weeks d)Patientteaching
:
Avoid ALLformsofalcoholtoavoidnauseaIvomiting 1 death *mouthwash , aftershave , perfume 1 colognes , insectspray , elixirs , alcohol preppads /sanitizers
OVERDOSEVS
.
WITHDRAWALS
* askyourself
:
" isit an upperor downer?"
UPPERS DOWNERS
.caffeine - cocaine .everythingelse!- Pcp 1 LSD ( psychadelia) - meth amphetamines (speed) ' ADHD - adderall/Ritalin .bathsalts(Cath - Kath)
- - - -
- tachycardia .bradycardia - hypertension .hypotension .diarrhea .constipation .agitation .constrictedpupils - tremors .flaccidity .seizures - respiratory arrest .difficulttoconsole .decreasedbodytemp *thenask ..." aretheytalking aboutan overdoseor withdrawal ?
OVERDOSE WITHDRAWAL
" Ihavetoomuch ..."" Ihavetoolittle ..."UPPER
:
everything is 4
UP UPPER
:
everything is 4 DOWN
DOWNER
:
everythingist
DOWNDOWNER
:
everythingis Php
- / 4
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