Critical care

Question 1

when is an arterial blood gas preferred over venous blood gas?

Answer 1

when trying to determine the patient’s oxygenation status

Question 2

when measuring blood gas, the patient’s pH and Paco2 are both decreased. what is the primary process?

Answer 2

metabolic acidosis

Question 3

a patient’s pH is decreased and paco2 is increased. what is the primary process?

Answer 3

respiratory acidosis

Question 4

after calculating a patient’s primary pH problem on a blood gas, what is the next step?

Answer 4

to determine if the compensation is appropriate or if there is a mixed acid-base problem going on

Question 5

if you diagnose metabolic acidosis and calculate that the Pac02 represents appropriate compensation, what is the next step to determine about the acidosis?

Answer 5

anion gap vs. non anion gap acidosis

Question 6

what is considered an elevated anion gap?

Answer 6

> 12

Question 7

if you diagnosed anion gap metabolic acidosis, what is the next calculation you should do?

Answer 7

osmolal gap

Question 8

diarrhea and diuretics would cause what type of metabolic acidosis?

Answer 8

non anion gap metabolic acidosis

Question 9

renal tubular acidosis would cause what type of metabolic acidosis?

Answer 9

non anion gap metabolic acidosis

Question 10

methanol, ethylene glycol, DKA, lactic acidosis, uremia, and carbon monoxide will cause what type of metabolic acidosis?

Answer 10

anion gap metabolic acidosis

Question 11

what type of metabolic acidosis can result from large volume NS infusion?

Answer 11

non anion gap metabolic acidosis

Question 12

t/f vomiting can cause a contraction metabolic alkalosis

Answer 12

true

Question 13

what are the two categories of metabolic alkalosis?

Answer 13

chloride depletion or non chloride depletion metabolic alkalosis

Question 14

vomiting, diarrhea, and diuretic use lead to what type of metabolic alkalosis?

Answer 14

chloride depletion alkalosis

Question 15

in order to know if metabolic alkalosis is chloride deplete or non chloride deplete, what study do you need to do?

Answer 15

urine chloride

Question 16

what is the most common cause of respiratory acidosis?

Answer 16

chronic lung disease

Question 17

which calculation is used in the case of an anion gap metabolic acidosis to see whether there is another acid base disturbance present?

Answer 17

gap - gap analysis

Question 18

how many HPV vaccines does a 9-14 yo patient need? 15-26 yo?

Answer 18

9-14 yo: 2 vaccines
15-26 yo : 3 vaccines