Mark Klimek NCLEX Review- Lecture Yellow Book-

Mark Klimek NCLEX Review- Lecture Yellow Book- with 100% verified solutions-2023

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

You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. Based on these results, the client is

experiencing:

↓= acidosis; ↑= respiratory

MacKussmaul The only acid base to cause Kussmaul respirations is Metabolic ACidosis

As the _______ goes, so goes _______ except for _______ pH, my patient, Potassium

Up i.e alkalosis

hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic, Diarrhea, Borborygmi( i.e increased bowel sound), hyperreflexia, etc

Down i.e acidosis hyperkalemia, resp arrest, htn, bradycardia, constipation, absent bowel sounds, flacid, bradypnea

Causes of acid-base imbalances: First ask yourself, "Is it _______?" If yes, then it's

_______. Then ask yourself: "Are they _______ or _______. If _______, pick

_______. If _______, pick _______ lung, respiratory, overventilating, underventilating, overventilating, alkalosis, underventilating, acidosis

Causes of acid-base imbalances: If it's not lung, then it's _______. If the patient has _______ _______ vomiting or suction, pick _______. For everything else that isn't lung, pick _______ _______. When you don't know what to pick, choose _______

_______

metabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis

High pressure alarms are triggered by _______ resistance to air flow. This means the machine is beginning to push too hard to get air into the lungs.increased

High pressure alarms are triggered by increased resistance to airflow and can be

caused by obstructions of three types: _______ action, _______ action, _______

action 1) kinked tube - You unkink, 2)water condensing in tube. Here you just empty. 3) mucus secretions in airway- Here you 1st cough and deep breathe, change positions, and suction if those dont work.

Low pressure alarms are triggered by _______ resistance to airflow.decreased

Low pressure alarms are triggered by decreased resistance to airflow and can be caused by disconnections of the _______ or _______ 1) Tubing -Here just reconnect it.2) oxygen sensor tube - HERE YOU reconnect it. UNLESS tube is on the floor- bag them and call RT if this happens)

Respiratory alkalosis or overventilating means ventilator settings may be too

_______

high

Respiratory acidosis or underventilating means ventilator settings may be too

_______

low

What does "wean" mean?gradually decrease with the goal of getting off altogether

What is Maslow's highest priority to lowest priority?

• Physiological
• Safety
• Comfort