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13 Cards in this Set
- Front
- Back
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If the PH and the Bi-Carb are in the same direction then |
Metabolic |
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If the PH and Bi-carb are opposite then |
Respiratory |
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As the PH goes so does my patient except for |
K potassium |
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Alkalosis |
(up) alkalosis: irritibility, hyper-reflexia (3 & 4), tachypnea, tachycardia, borborygmi (increased bowel sounds), seizure, aspirate.. |
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Aacidosis |
(down) acidosis: hypo-reflexia, bradycardia, lethergy (obtunded), paralytic ileus (decreased bowel sounds), coma, respiratory arrest (ambu-bag!!) |
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MAC Kussmaul |
Metabolic Alkalosis |
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If it isn't lung then its ? Then ask? If it isn't lung then its ? Then ask? If it isn't lung then its ? Then ask? |
with scenarios.. always ask first “is it lung?” = respiratory …then ask if the pt is over-ventilating or under-ventilating? over-ventilating = alkalosis under-ventilating = acidosis |
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if pt has prolonged gastric vomiting or suctioning… |
it’s always metabolic alkalosis… why? losing acid = becomes basic.. |
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for everything else that is not lung - or vomiting/ suctioning |
Metabolic Acidosis |
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alarms.. high pressure alarm… (ventilators) |
triggered by increasure resistance to air flow.. (machine is pushing too hard to get air into the lungs).. respiratory alkalosis. Pt ready to wean or discontinue. |
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3 obstructions: ventilators HIGH PRESSURE ALARMS |
kink in tubing (get kink out) water condensing within the tube (empty tube) mucus secretions in the airway (turn, cough, deep breathe… then suction).. suction as needed!! *in that order*… |
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low pressure alarm.. |
decreased resistance (too easy for the machine..) respiratory acidosis Low pressure alarms are triggered by decreased resistance to airflow & can be caused by disconnections of the main tubing or oxygen sensor tubing… Tubing (reconnect it!) - oxygen sensor tube (reconnect it UNLESS tube is on t the floor - bag them & call Respiratory therapist if this happens) |
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Over ventilate Under Ventilate translate |
Over ventilate = Alkalosis Under ventilate = Acidosis |
