Mark Klimek- Yellow Book

Alexandria M.• 543 cards Mark Klimek- Yellow Book Ohio|Columbus State Community College|

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 pH 7.43 _______ HCO3 34

_______

↑= compensated alkalosis ↑= metabolic pH 7.39 _______ HCO3 25

_______ CO

2 61 _______

Norm., norm., ↑ = CO

• problem not

acid-base problem As the _______ goes, so goes _______ except for

_______

_______

pH, my patient, Potassium pH is Up Alkalosis, Hypokalemia, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic, Diarrhea, Borborygme, Hyperreflexia, etc Tachy, hyper, elevated, irritable, peaking, increase, spastic, rise pH is Down Acidosis, Hyperkalemia, htn, Bradycardia, Constipation, Absent bowel sounds, Flacid, Bradypnea Brady, hypo, lethargic, decrease, few, scant, suppressed 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 suctioning, pick _______.For everything else that isn't lung, pick _______ _______. When you don't know what to pick, choose

_______

metabolic, prolonged(days) gastric, alkalosis, metabolic acidosis, metabolic acidosis High pressure alarms are triggered by _______ resistance to air flow.increased High pressure alarms are triggered by increased resistance to airflow and can be caused by

obstructions of three types:

_______-> action: _____,

_______-> action: _____,

_______-> action: _____

(Least invasive to most)

kinked tube-> action: unkink

water in tube-> action:empty

mucus in airway-> action: cough

and deep breathe