Nclex Mark Klimek Transcript Notes

Nclex Mark Klimek Transcript Notes

ANTICHOLINERGIC vs. CHOLINERGIC EFFECTS

ANTICHOLINERGIC CHOLINERGIC

  Mucus

ï‚· Bronchodilation

ï‚· Dry mouth

ï‚· Dry eyes

ï‚· Urinary retention

ï‚· Dry skin

ï‚· Constipation

ï‚· Shut down GI

ï‚· Prevents V when trying to intubate

ï‚· Bronchorrhea (large amounts of mucus in

airway)

ï‚· Bronchoconstriction

ï‚· Salivation

ï‚· Lacrimating

ï‚· Urination

ï‚· Diaphoresis/Diarrhea

ï‚· GI Upset

ï‚· Emesis

ACID BASE GASES

A. ABG Interpretation

a. Rule of the B’s

i. If the pH and the BICARB (HCO3)

ii. Are BOTH in the same direction,

iii. Then it is METABOLIC

b.  pH = acidosis

c. ï‚­ pH= alkaline

B. Values

a. Normal pH = 7.35 – 7.45

b. Normal Bicarb= 22-26

c. PaO2= 80-100 mmHg

d. PaCO2= 35-45 mmHg