Mark Klimek Lectures

Question 1

What are the signs and symptoms of alkalosis?

Answer 1

Everything goes UP:

• irritability
• borborygmi
• hypertension
• increased RR
• tachycardia
• increased risk of SEIZURE

Question 2

What are the signs and symptoms of acidosis?

Answer 2

Everything goes DOWN:

• paralytic ileus
• bradycardia
• respiratory depression
• lethargic/obtunded affect
• increased risk of COMA

Question 3

What happens to potassium in acidosis/alkalosis?

Answer 3

INCREASED K+ in acidosis

DECREASED K+ in alkalosis

Question 4

Kussmauls occur with what acid-base imbalance?

Answer 4

Metabolic acidosis

Question 5

Diarrhea causes what acid-base imbalance?

Answer 5

metabolic acidosis

Question 6

Excessive vomiting causes what acid-base imbalance?

Answer 6

metabolic alkalosis

Question 7

A woman who experienced hyperemesis gravidum is now dehydrated. What acid-base imbalance is this?

Answer 7

metabolic acidosis

Question 8

Why would the high pressure alarm be going off on a ventilator? (3 things to check)

Answer 8

Because there is an obstruction:

• check for kink in tubing
• water condensed in the tube
• mucus secretions

Question 9

Why would the low pressure alarm be going off on a ventilator?

Answer 9

Because there is a disconnection of either the main tubing or the O2 sensor tubing

Question 10

If you are over-ventilating, the ventilator settings are too __ and you will have what acid-base imbalance?

Answer 10

respiratory alkalosis, settings too HIGH

Question 11

If you are under-ventilating, the ventilator settings are too ___ and you will have what acid-base imbalance?

Answer 11

respiratory acidoses, settings too LOW

Question 12

What are the 5 stages of grief?

Answer 12

D- denial
A- anger
B- bargaining
D- depression
A- acceptance

Question 13

Talking to someone about their denial of ABUSE, use what kind of communication?

Answer 13

Confrontation

Question 14

Talking to someone about their denial of LOSS, use what kind of communication?

Answer 14

Support