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Army Dialysis Exam 2

Resp, CVS, Acid/Base, Fluid/Electrolytes, Renal Pharm, AMEDD Dialysis Standards

QuestionAnswer
How does blood flow through the heart? R Atrium, Tri valve, R Ventricle, Pulmonary Valve, Pulmonary Artery, Lungs, Pulmonary Vein, L Atrium, Bicuspid Valve, L Ventricle, Aortic Valve.
What are the two types of Valves? Semi-Lunar Valves and Atrial/Ventricle Valves
What is the preferred ratio of Bicarb to H+? 20 Bicarb to 1 H+
What are the three levels of Acid/Base Balance buffers? Chemical, Respiratory, Metabolic
Would an increase in CO2 increase or decrease PH levels? Descrease PH level making the patient Acidic
What is the normal range for CO2? 35-45
What is the normal range for PH in the blood? 7.35-7.45
What is the normal range for Bicarbonate (HCO3)? 22-26
If a patient's ABG reads at 7.48 PH, 40 CO2, 30 HCO3 what does this tell you? That the patient is in Metabolic Alkalosis
If a patient exhibits the signs and symptoms of headache, drowsiness, confusion, hypotension, and Increased respirations which of the following would you suspect? Metabolic Acidosis, Metabolic Alkalosis, Respiratory Acidosis, Respiratory Alkalosis Metabolic Acidosis
If a patient exhibits the signs and symptoms of hypoventilation, dysrhythmia, irritability, tetany and confusion which of the following would you suspect? Metabolic Acidosis, Metabolic Alkalosis, Respiratory Acidosis, Respiratory Alkalosis Metabolic Alkalosis
If a patient exhibits signs and symptoms of decreased mentation, anxiety, headache, fatigue, reflexes, tachycardia, cyanosis which of the following would you suspect? Metabolic Acidosis, Metabolic Alkalosis, Respiratory Acidosis, Respiratory Alkalosis Respiratory Acidosis
If a patient exhibits the signs and symptoms of vertigo, syncope, nervous, seizures, confusion, hyperventilation, paresthesia which of the following would you suspect? Metabolic Acidosis, Metabolic Alkalosis, Respiratory Acidosis, Respiratory Alkalosis Respiratory Alkalosis
If a patient has had diarrhea for a few days what would you expect them to have lost to make their PH change? Bicarbonate
What is the process by which the body tries to maintain the 20:1 base:acid ratio? Compensation
What is the major ion intracellular? Potassium (K+)
What is the major ion extracellular? Sodium (Na)
What is the process by which a drug is absorbed into the bloodstream? Absorption
What affects the rate of absorption? Route of administration, concentration, dosage form, drug properties
What is distribution? Movement of the absorbed drug into the tissues and other locations of the body.
What affects distribution? Perfusion, Water Volume, drug characteristics, polarity
What is Metabolism? Chemical conversion of a drug usually to a less toxic form.
What is drug excretion? The process in which a drug leaves the body.
Name two non-dialyzable antimicrobial drugs. Vancomyacin and Amphotericin
Which non narcotic analgesic is non-dialyzable? Acetaminophen
What is special about Meperidine (Demerol) in dialysis? It has a cumulative effect on dialized patients. No prolonged use.
Why do we give vitamins after dialysis and what is the concern with vitamins? Water soluble vitamins dialyze off and fat soluble vitamins can build up to toxic levels.
When taking Calcium based antacids as a supplement what should you combine with it? A low phosphate diet
Created by: 663267758
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