Exam 2 Info Flashcards Preview

med surg > Exam 2 Info > Flashcards

Flashcards in Exam 2 Info Deck (17)
Loading flashcards...
1
Q

Ph

A

Acid 7.35 - 7.45 alkal

2
Q

pC02
Resp (0-12hrs)

A

Alkalosis 35 - 45 Acid

3
Q

HC03 (bicarb)
Kidney (12-48hrs)

A

Acid 22 - 26 Alkalosis

4
Q

Metabolic Alkalosis examples

A

N/V
Pancreatitis
Dehydration
NG LWS
HYPOkalemia
HYPOnatremia
Tons of antacids

5
Q

Metabolic Acidosis examples

A

DKA
Renal/liver failure
HYPERkalemia
HYPERnatremia

6
Q

Resp Alkalosis examples

A

Hyperventilating
Fast HR, anxious, diaphoritic, numbness/tinglinging (parasthesia)

7
Q

Resp Acidosis examples

A

Air Hungry
Post PACU (post anesthesia pt)
Asthma
COPD
Current overdose
Current resp arrest

8
Q

Dehydration

A

DRY=labs high
poor skin turger/tenting (chest wall)
HIGH hr HIGH rr LOW bp
WEAK PULSE
who? n/v/d & excessive diuretics

9
Q

Fluid Overload (Fluid Excess)

A

BOUNDING PULSE
HIGH hr, HIGH bp, HIGH rr (short&shallow)
Crackles - sacrum - legs - POSITIVE JVD (last sign) SUPINE 45
Who? CHF, pulm edema, kidney failure

10
Q

HypoNAtremia

A

135-145
Metabolic alkalosis
#2 diagnosis
confusion, lethargy, SEIZURES
who? n/v/d, diuretics, ICP, large gapin wound, NG-LWS
Treat? Hourly monitoring, NS Fluids

11
Q

HyperNAtremia

A

135-145
Metabolic acidosis
FRIED “SALT”
Skin Flushed
Agigation
Low grade fever
Thirst
treat? diuretics

12
Q

Hypomagnesmia

A

Intracellular
1.5-2.5
“everything firing”
muscles excited, tremors, seizure, nystagmus, tetany
who? malnurished, alcoholic, diuretic use
treat? IV MAG, asscess DTR every HOUR

13
Q

Hypermagnesmiaa

A

1.5-2.5
“everything chill”
SEVERLY LOW BP, HR, reduced/absent DTR
treat? HEART MONITOR, 02 adjunct, continous v/s

14
Q

Hypocalcemia

A

9-10.5
CATS
Convulsions
Arrythmias
Tetany
Stridor/spasms
+chevoskes,/trousseaus, calf pain
who? lactose intolerant, decreased vitamin D, ESDR, decreased oral intake, malabsorption
treat? reduce stimulation, seizure precaution, VIT D SUPPLEMENT, AMP CAL GLUCONATE

15
Q

Hypercalcemia

A

9-10.5
muscle weakness, decreased DTR, polyuria, anorexia
who? thaiazide diuretics
treat? CALCITONIN, HEART MONTIOR, HD=SEVERE
doesnt work? malignancy risk? hyperparathyriodism

16
Q

HypoKalemia

A

3.5-5.0
“A SIC WALT”
ALKALOSIS (metabolic)
Shallow resp
Irritability
Confusion
Weakness
Arrythmias (HTN)
Lethargy
THREADY PULSE
risk? ileus pt, BOWEL OBSTRUCTION
who? diuretics, steriods, cushing, VOMITTING, kidney disease, PROLONGED NG SX
treat? HEART MONITOR, K replacement IV (10-20mEq Qhr)
Foods? raisin, squash, potato, fruit
AVOID DIGOXIN/DIRETICS

17
Q

HyperKalemia

A

3.5-5.0
MUSCLE TWITCHING, SEVERE DIARRHEA, aarythemias (hypotension), abd cramping
who? K Sparing diuretics, DM, tissue damage, overindigestion meds/foods
METABOLIC ACIDOSIS