ABG Interpretation
pH - 7.50
paCO2 - 30
HCO3 - 24
Respiratory Alkalosis
Name some causes of Respiratory Acidosis
D - rugs (Opioids/Sedatives)
E- dema (Fluid in Lungs)
P-neumonia
R- espiratory Center of brain is damaged
E-mboli (PE)
S-ac elasticity damage (COPD)
S-
The nurse is educating a patient on post-operative risk reduction and will include information on this non-pharmacological action
What is applying SCDs/TED hose
What blood type is the universal donor and what type is the universal recipient?
Universal Donor - O-
Universal Recipient - AB+
This is the hallmark symptom of iron-deficiency anemia
Fissures at the corner of the mouth
pH - 7.48
paCO2 - 40
HCO3 - 30
Metabolic Alkalosis
S/S of Metabolic Acidosis
- Kussmaul Respirations
- N/V/D
-Weakness
-Hypotension
-Decreased LOC
After receiving pre-operative medications for anxiety the nurse knows the patient is at risk for this complication
a fall
What needs to be assessed before administration of blood products?
- Patient Understanding (Consent)
- IV Patency
- Vital Signs
During a sickle cell crisis, the nurse will educate the patient to do this to decrease their risk of clots
What is intake 4L of fluid per day
pH - 7.45
paCO2 - 36
HCO3 - 24
Normal
Name some causes of Metabolic Alkalosis
H - ypokalemia
A - ntacids (too many)
N - asogastric Suctioning
D - iuretics (furosemide, bumetadine)
E - xcessive Vomiting
The nurse assesses a patient's risk of anesthesia-related complications by asking about a family history involving this
a high fever after surgery to indicate malignant hyperthermia.
DAILY DOUBLE
What is the maximum amount of time that blood must be hung after being picked up from the blood bank?
How long can that blood hang for?
30 minutes
4 hours
What type of drug is typically given to sickle cell patients to help with pain?
- Opiods
pH -7.20
paCO2 - 49
HCO3 - 26
Respiratory Acidosis
A patient who is hyperventilating would be at risk for which acid/base imbalance?
Respiratory Alkalosis
The RN knows that the assessment of this body system is priority status post general anesthesia
What is respiratory assessment (O2 sat, lung sounds, respiratory rate, level of consciousness, respiratory depth)
S/S of a transfusion reaction may include fever or chills, flank pain, vital sign changes, nausea, headache, urticaria, dyspnea, or bronchospasm
You should avoid taking these at the same time as iron because they decrease absorption.
Calcium (milk) and antacids
pH - 7.52
paCO2 - 40
HCO3 - 30
Metabolic Alkalosis
S/S of Respiratory Alkalosis
- Tachypnea/Tachycardia/Tetany
- Muscle Cramping
- Confused/Tired
- EKG Changes
- + Chvostek Sign
The surgeon is responsible for ensuring the correct body part is operated on by completing this action with the patient
Marking the surgical site prior to the start of the procedure
What type of tubing is required to administer blood and what solution is hung with?
Filtered tubing
Normal saline
Symptoms specific for iron deficiency anemia
Smooth red tongue, brittle nails