NURS 403 Study Guide - Midterm Guide: Respiratory Acidosis, Metabolic Alkalosis, Pulmonary Artery
Document Summary
Evaluate pressure and heart to better manage preload and afterload. Pulmonary artery pressure monitoring via swan-ganz is not common anymore. Do(cid:374)"t (cid:374)eed to k(cid:374)o(cid:449) (cid:448)alues for he(cid:373)ody(cid:374)a(cid:373)i(cid:272) (cid:373)o(cid:374)itori(cid:374)g: except know map (at least map of 60) Ph moves in the same direction as hco3 and opposite of paco2. Partially compensated: something has happened to try to move ph back into normal range. Fully compensated: ph is normal: whi(cid:272)h side of (cid:374)or(cid:373)al it"s o(cid:374) (cid:449)ill i(cid:374)di(cid:272)ate (cid:449)hi(cid:272)h has (cid:271)ee(cid:374) (cid:272)o(cid:373)pe(cid:374)sated. If ph is 7. 40, need to look at patient history. Scenario #1: ph: 7. 49, pao2: 88 paco2:42 hco3: 32. Metabolic alkalosis ph: 7. 3 o2: 75 co2: 55 hco3: 25. Partially compensated respiratory acidosis ph: 7. 44 o2: 88 co2: 47 hco3: 35. Metabolic alkalosis fully compensated ph: 7. 47 o2: 90 co2: 31 hco3: 28. Ventricular fibrillation: may indicate hr on monitoring but this is misleading. Make sure to stop cpr when doing pulse check to prevent interference.
