VN 22 Test 6

Question 1

1. ABG interpretation

Answer 1

PH: 7.35-7.45 (7.4 is neutral)
PaCO2: 45-35
HCO3:22-26

Question 2

2. Nursing actions post ABG draw

Answer 2

Apply pressure to the puncture site for 3-5minutes

Question 3

3. When are ABG drawn

Answer 3

A good indicator of oxygenation status

Question 4

4. Causes: Respiratory Acidosis

Answer 4

Decreased or no respirations
• COPD
• Overdose
• Pneumonia
• Smoke inhalation
• Pneumothorax
• Airway obstruction

Question 5

4. Causes: Respiratory Alkalosis

Answer 5

Shock, Kussmaul’s Respirations: Deep and FAST breathing
(The body is trying to compensate for its metabolic acidosis by producing a respiratory alkalosis on purpose)
• Anxiety
• Pain
• Fever
• Hypotension
• Hypoxia
• CHF
• PE
• Sepsis
• Salicylate overdose

Question 6

4. Causes: Metabolic Acidosis

Answer 6

• Cardiac arrest
• Renal failure
• DKA
• Diarrhea for a long time
• ASA or Antifreeze overdose

Question 7

4. Causes: Metabolic Alkalosis

Answer 7

• Excessive bicarbonate-containing drugs
• Diuretic therapy
• Vomiting
• Naso-gastric suctioning
• Nausea

Question 8

5. Manifestations: Respiratory Acidosis

Answer 8

• Altered Level of Consciousness
• Diaphoresis
• Headache
• Warm flushed skin
• Dizziness

Question 9

5. Manifestations: Respiratory Alkalosis

Answer 9

• Hyperventilation
• Numbness/tingling toes
• Seizures
• Respiration rate greater than 20
• Decrease potassium
• Tachycardia

Question 10

5. Manifestations: Metabolic Acidosis

Answer 10

• Kussmaul’s respirations
• Warm flushed skin
• Tachycardia
• Hypotension
• Tachypnea
• Confusion or coma
• Headache

Question 11

5. Manifestations: Metabolic Alkalosis

Answer 11

• Bradypnea
• Tachycardia
• Hypotension
• Muscle weakness
• Fatigue