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RASMUSSEN - MDC III - FINAL EXAM
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
respiratory alkalosis - correct answer- high pH, low CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
metabolic acidosis - correct answer- low pH, low HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
respiratory acidosis - correct answer- low pH, high CO2
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic 1 / 3
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metabolic alkalosis - correct answer- high pH, high HCO3
pH: 7.35-7.45 acidic-basic
HCO3: 21-28 acidic-basic
CO2: 45-35 acidic-basic
▪ change in condition make take priority over ABCs (ex: post op
bleeding is priority over an O2 Sat% of 90%) ▪ pick the patient that is going to die first - correct answer- Priority questions...something to consider
CPR, press the code button - correct answer- You walk into your patient's room and they *don't have a pulse*, what are you going to do?
bag resuscitation, press the code button - correct answer- You walk into your patient's room and they are *not breathing but have a pulse*, what are you going to do?
▪ unconscious, pulseless 2 / 3
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▪ shock them with the AED! - correct answer- If you walk into a room with a patient that is in *ventricular fibrillation (v fib)*
▪ How will they present?▪ What must we do to get them out of that state?
▪ make them bear down (valsalva maneuver) ▪ make them cough (vagal maneuver) - correct answer- If you walk into a room and a patient is alert and oriented, speaking to you, has a pulse, but their cardiac monitor shows they are in *ventricular tachycardia*
▪ What are you going to do?
Supraventricular Tachycardia (SVT) - correct answer- Which cardiac rhythm requires the patient to take *adenosine*?
▪ they may end up with a *blood clot* because the blood is pooling in the atria - correct answer- What is our priority concern for a patient in *atrial fibrillation (a-fib)*?
*control RVR for patient:*
▪ give anticoagulants
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