Vents
True or False: All patients who are paralyzed need to be on a sedative
True
Name 3 of the most common sources of acid in the body
Potassium
CO2
HCl
Name 2 nursing specific interventions for hyperkalemia
Cardiac monitor
Hold meds that contain potassium
Contact HCP
Review MAR
Advocate for dietary restriction of K
Administer therapies as ordered
Your preceptor asks why your patient is ordered calcium gluconate if potassium is high. How do you respond
Calcium gluconate stabilizes the cardiac membrane to decrease the likelihood of your heart having a dysrhythmia
This order is the gold standard for confirming ET tube placement
What is Chest XR
What happens to pH as the acid levels increases?
pH decreases
These 3 labs aid in the diagnosis of AKI and can also suggest your patient needs dialysis
K
BUN
Cr
Phosphate is inactivated by this electrolyte
What is calcium?
True or false: sedated patients should have reflexes
True
It takes at least how many days/ hours for renal compensation to accompany a respiratory issue
Minimum 24 hours
This phase of AKI shows a decrease in UO to <400mL/day
What is the oliguric phase?
How does polystyrene sulfonate (Kayexalate) decrease potassium?
Exchanges sodium for K in the GI tract
This device needs to be attached to the patient's ET tube to verify placement
What is an end tidal CO2 monitor
This body system is the most sensitive indicator to changes in oxygenation
What is the central nervous system?
This phase of AKI shows a gradual increase in UO of up to 5 L/day
What is the diuretic phase?
List 3 s/s that show your patient may need to be reintubated
Decreased SpO2 levels
Tachypnea or bradypnea
Tachycardia
Decreased level of consciousness
Decrease in PaO2
Increase in PaCO2
You except to see this breathing alteration in metabolic acidosis
What is rapid deep respriations?
This phase of AKI shows improved renal function with normalized UO
What is the recovery phase?
Name 3 potential complications of positive pressure ventilation
Hypotension
VAP
Pneumo
Fluid retention
Icreased ICP
JVD
Stress ulcers
Ischemia of GI tract
Paralytic ileus
Subcut emphysema
What is relieving the obstruction to urine outflow?
What is a SpO2 of 95%?
These are 3 nutrition considerations for ESRD management
No NSAIDs
Protein restriction
K restriction
Na restriction