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Army Dialysis Exam 2
Resp, CVS, Acid/Base, Fluid/Electrolytes, Renal Pharm, AMEDD Dialysis Standards
Question | Answer |
---|---|
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 |