Umm...you should know the Basics!
Normal pH
What is 7.35 - 7.45
The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client, knowing that the client is at risk for which acid-base disorder?
What is Metabolic Alkalosis
pH 7.48, PaO2 85, PaCo2 32, HCO3 25
What is Respiratory Alkalosis
greater than 145, water deprivation, excess aldosterone secretion
What is Hypernatremia
List the steps of the Allen’s test in order from beginning to end.
A. Release pressure on the ulnar artery
B. Rest patients arm on table or bed palm up
C. Compress the radial and ulnar arteries
D. Have patient clench fist
E. Have patient unclench fist.
What is B, D ,C, E, A
Best indicator of fluid volume status
What is daily weights
Airway obstruction, foreign body, aspiration
What is Respiratory Acidosis
pH 7.3, PaCO2 36, HCO2 19,
What is Metabolic Acidosis
below 1.5, positive Chvostek's sign, hyperactive deep tendon reflexes
What is Hypomagnesium
This occurs in hypocalcemia, tetany, where the blood pressure cuff is placed around the arm occluding the brachial artery for 3 minutes causing a spasm of the arms in the hand/forearm.
What is Trousseau's sign
Can not administer potassium in this method
What is IV push
ph: 7.45 PCO2: 30 HCO3: 22 compensated or uncompensated?
What is respiratory alkalosis compensated
pH 7.53, PaCO2 30, HCO3 24
What is Respiratory Alkalosis
greater than 5.0, acidosis, use of potassium-sparing diuretics, fluid volume deficit
What is Hyperkalemia
A patient is admitted to the hospital with a calcium level of 15.2, a sodium level of 145, potassium level of 5.2. What is the nurse’s best action?(select all that apply)
A. Give chlorothiazide as ordered.
B. Get the patient up and walking.
C. Administer furosemide as ordered.
D. Document normal findings
E. Monitor cardiac rhythm
What is B C E
Get pt up/walking, admin Lasix, monitor,
solution moves from an area of higher concentration to an area of lower concentration
What is Diffustion
Hyperventilation can cause respiratory...
What is alkalosis
pH 7.49, PCO2 43, HCO3 36
What is Metabolic Alkalosis
ionized level above 5.5, can create kidney stones, hypoactive reflexes
What is hypercalcemia
A patient enters the hospital with a sodium level of 120mEq/L. What treatment measures could be implemented? (select all that apply)
A. Place patient on a fluid restriction
B. Oral sodium supplements
C. Furosemide as ordered
D. Give 3% NS
E. GIVE 0.9% NS
What is A B D
major chemical base buffer
What is Bicarbonate
Headache, lethargy, nausea, vomiting, diarrhea, coma or death are symptoms of...
What is Metabolic Acidosis
pH 7.10, PaCO2 70, HCO3 24
What is Respiratory Acidosis
A 28 year old male pt is admitted with diabetic ketoacidosis. The nurse realizes that this pt will have a need for which electrolyte?
What is magnesium
When analyzing an arterial blood gas report of a pt with COPD and respiratory acidosis, the nurse anticipates that compensation will develop through which of the following mechanisms?
a. the kidneys retain bicarbonate
b. the kidneys excrete bicarbonate
c. the lungs will retain carbon dioxide
d. the lungs will excrete carbon dioxide
What is (a) kidneys retain bicarbonate