NSE 418 Study Guide - Final Guide: Ileus, Metabolic Acidosis, Stomach Rumble
Document Summary
Low ph--->k high ph and bicarb (hco3) in same direction--->metabolic sign & symptom of. High ph (alkalosis) sign & symptom of low ph (acidosis) If client is under ventilating (hypoventilating)----> retaining. Rr different than ventilation--->pay attention to sao2. Pt with pca pump has depressed respiration and so ventilation going down--->resp acidosis. Pt has prolonged gastric vomiting or suctioning--->pick metabolic alkalosis--->losing acid and become basic. If not lung, vomiting, or suctioning--->metabolic acidosis examples: Gi surgeryand ng tube low and suctionging 3 days--->metabolic alkalosis. Dehydration, acute renal failure, 3rd degree burn 60%, idopathic bolus xxx. Pay more attention to the modifying phrase over the original noun--->pt with vomiting, who is not dehydrate. Potassium calcium magnesium sodium kalemias-do the same as the prefix except: hr & uo. Choveseck sign and trousseau sign -->neuromuscular irritation-- Not more than 40 meq--->question and clarify. Fastest way to lower potassium--> d5w w/regular insulin. Drive potassium into cells out of blood (preven from killing)
