Mark Klimek Yellow Book KV Latest

Mark Klimek Yellow Book (KV) Latest

Quiz:> If the pH and the BiCarb are both in the same direction then it is?

{{{Answer}}} (Metabolic)

Quiz:> If the pH is up it is?

{{{Answer}}} (Alkalosis)

Quiz:> As the pH goes so goes my patient except for?

{{{Answer}}} (Potassium)

Quiz:> If the pH is down it is?

{{{Answer}}} (Acidosis)

Quiz:> If the pH is up my patient with show signs and symptoms of?

{{{Answer}}} (Increase... like tachycardia,diarrhea and borborygmi)

Quiz:> If the pH is down my patient will show signs and symtoms of?

{{{Answer}}} (Decrease... like decreased output, bradycardia and constipation)

Quiz:> If my pH is up my potassium (K+) is ?

{{{Answer}}} (Down)

Quiz:> If my pH is down my potassium (K+) is?

{{{Answer}}} (Up)

Quiz:> If my patient is overventilating I should choose?

{{{Answer}}} (Respiratory Alkalosis)

Quiz:> If my patient is underventilating I should choose?

{{{Answer}}} (Respiratory Acidosis)

Quiz:> If my patient has prolonged gastric vomiting or suction I choose?

{{{Answer}}} (Metabolic Alkalosis)

Quiz:> If it is not lung or prolonged vomiting or suctioning I choose?

{{{Answer}}} (Metabolic Acidosis)

Quiz:> Kussmal Respirations

{{{Answer}}} (Metabolic Acidosis ( Remember MacKussmal)

Quiz:> Before measuing ABGs you should check what?

{{{Answer}}} (Allen's test. Should be positive. Pt makes a fist and pressure is applied to the ulnar and the radial arteries Ulnar pressure is released and color should return in 7 seconds (means it's positive and OK to take ABG's).)

Quiz:> Definition of Compensation

{{{Answer}}} (PH is normal! It is never compensated if it is abnormal.)

Quiz:> If PH normal

{{{Answer}}} (look in the direction it is going. Closer to Acidic? (7.35) acidosis.

Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's metabolic acidosis.

If C02 is abnormal, it's Respiratory Acidosis :))

Quiz:> If your pt is acidotic and you need to pick a symptom

{{{Answer}}} (Pick the symptom where everything is DOWN. ( And vice Versa)

Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction)

Quiz:> If you don't know what causes an acid base balance, pick

{{{Answer}}} (Metabolic Acidosis)

Quiz:> If in doubt in ABGs, always pick

{{{Answer}}} (Headache, nausea, weakness & numbness+ tingling. It can be either up or down.)

Quiz:> High pressure alarms are triggered when?

{{{Answer}}} (They cannot push air in)

Quiz:> High pressure alarms are caused by what three types of obstructions?

{{{Answer}}} (Kinking, Water in dependant loops and mucus in the airway.)

Quiz:> If kinking in the tube is present you?

{{{Answer}}} (Unkink)

Quiz:> If water is present in the dependant loops you?

{{{Answer}}} (Open system and empty water.)

Quiz:> If mucus is present you?

{{{Answer}}} (Turn them, cough and have them deeo breath first. If ineffective you then suction.)

Quiz:> Don't suction unless

{{{Answer}}} (Coughing & deep breathing is deemed inappropriate.)

Quiz:> In order to suction, you must be able to hear

{{{Answer}}} (Mucus in the lung)

Quiz:> Low pressure alarms are triggered when?

{{{Answer}}} (It is to easy to push air in.)

Quiz:> Low pressure alarms are normally caused by?

{{{Answer}}} (Disconnection)

Quiz:> If the tubing is disconnected you?

{{{Answer}}} (Reconnect)

Quiz:> If O2 sensor line is disconnected you?

{{{Answer}}} (Reconnect)

Quiz:> In a vented client respiratory alkalosis means the vent setting may be too?{{{Answer}}} (High)

Quiz:> In a vented client respiratory acidosis means the vent may be too?

{{{Answer}}} (Low)

Quiz:> What do you do if the patients disconnected tube is on the floor?

{{{Answer}}} (Bag them, (call for help) get new tube and then reconnect.)

Quiz:> First question to ask if the low pressure alarm sounds

{{{Answer}}} (Where is the tubing?!)

Quiz:> HOLD

{{{Answer}}} (H- High Pressure O- Obstruction L- Low D- Disconnections)

Quiz:> Never put anything in YOUR scope of practice

{{{Answer}}} (On anyone else)

Quiz:> Make sure your answer is

{{{Answer}}} (PATIENT FOCUSED.

TAKE CARE OF YOUR PATIENT!

Don't answer based on staff, building, machine, etc.

PATIENT FIRST.)

Quiz:> What does wean mean?

{{{Answer}}} (Decrease Gradually)

Quiz:> What do you do if the patients disconnected tube is on the chest?

{{{Answer}}} (Reconnect ... if its above the waist its ok.)

Quiz:> Remember is PSYCH if you are asked to Prioritize, Don't forget

{{{Answer}}} (MASLOW!

• Physiological
• Safety
• Comfort - Includes pain
• Psychological
• Social
• Spiritual)

Quiz:> When prioritizing, always use Maslow + ABCs

{{{Answer}}} (For one patient. Don't if you have more than one patient.)

Quiz:> What is the biggest problem in abuse?

{{{Answer}}} (Denial)

Quiz:> To treat denial you need to?

{{{Answer}}} (Confront them.)

Quiz:> Definition of Denial

{{{Answer}}} (Refusal to accept reality of their problem)

Quiz:> How do you confront?

{{{Answer}}} (Point out the difference between what they say and what they do.)

Quiz:> What is the one circumstance that you as a nurse would support denial?{{{Answer}}} (Loss and Grief)

Quiz:> Always go

{{{Answer}}} (Med surg first. Then Psych)

Quiz:> What is dependency?

{{{Answer}}} (When the abuser gets a significant other so make decisions for them or do thing for them.)

Quiz:> What is codependency?

{{{Answer}}} (When the significant other gets positive self esteem from doing things or making decisions for an abuser.)

Quiz:> To treat dependency/codependency you ?

{{{Answer}}} (Set limits and enforce them.

Say NO and follow through.Agree in advance on what requests are allowed, then enforce the agreement.