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Mark Klimek

Yellow Book - Unit 1 - Acid Base Balances/Ventilators

QuestionAnswer
Rule of B's: If the ___ and the ___ are ___ in the same it is meta ___ If the pH and the Bicarb are both in the same direction then it is metabolic.
pH 7.30 ___ HCO3 20 ___ ↓=acidosis ↓=metabolic
pH 7.58 ___ HCO3 32 ___ ↑= alkalosis ↑= metabolic
pH 7.22 ___ HCO3 30 ___ ↓= acidosis ↑= respiratory
Following blood gas: pH 7.32, CO2 49, HCO3 29, PO2 80 and SaO2 90% - what is client experiencing? ↓= acidosis ↑= respiratory
MacKussmaul The only acid base to cause Kussmaul respirations is Metabolic ACidosis
As the ___ goes, so goes ___ except for ___. As the pH goes, so goes my patient, except for Potassium.
Up hypokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic, Diarrhea, Borborygme, hyperreflexia, etc.
Dow hyperkalemia, acidosis, htn, bradycardia, constipation, absent bowel sounds, flacid, bradypnea
Causes of acid-base imbalances: First ask yourself, "Is it ___? If yes, then it's ___. Then ask yourself: "Are they ___ or ___. If ___, pick ___. If ___, pick ___. Is it lung? If yes, then it's respiratory. Are they overventilating or underventilating. If overventilating, pick alkalosis, if underventilating, pick acidosis.
Causes of acid-base imbalances: If it's not lung, then it's ___. If the patient has ___ ___ vomiting or suction, pick ___. For everything else that isn't lung, pick ___ ___. When you don't know what to pick, choose ___. If it's not lung, then it's metabolic. If the patient has prolonged gastric vomiting or suction, pick alkalosis. For everthing else that isn't lung, pick metabolic acidosis. When you don't know what to pick, choose metabolic acidosis.
High pressure alarms are triggered by ___ resistance to air flow. increased
High pressure alarms are triggered by increased resistance to airflow and can be caused by obstructions of three types: Kinked tube (unkink) Water in tube (empty) Mucus in airway (Cough and deep breathe)
Low pressure alarms are triggered by ___ resistance to airflow. decreased
Low pressure alarms are triggered by decreased resistance to airflow and can be caused by disconnections of the ___ or ___. tubing (reconnect it) oxygen sensor tube (reconnect it UNLESS tube is on the floor - bag them and call RT if this happens)
Respiratory alkalosis means ventilator settings may be too ___ high
Respiratory acidosis means ventilator settings may be too ___ low
What does "wean" mean? gradually decrease with the goal of getting off altogether
Created by: Blackbeltmom
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