NCLEX- Acid Base, F/E and VS

Term
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Causes of respiratory acidosis
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Terms in this set (42)
Causes of respiratory acidosis
asthma
atelectasis
brain trauma
,bronchitis
CNS depressants
COPD
high level O2
hypoventilation,pneumonia,Pulmonary edema/emboli
-(obstruction of airway,depression of RS)
Tx of respiratory acidosis
treatment of underlying cause, O2, bronchodilators, semi fowlers,turn cough and deep breath,ambulate, Narcan [if narcotic related]
respiratory alkalosis causes
fever,hyperventilation,hypoxia,overventilation,pain (blowing of CO2;overstimulation)
respiratory alkalosis treatment
treat underlying cause, Paper bag to rebreathe CO2
metabolic acidosis causes
DKA, severe diarrhea, renal failure, shock
metabolic acidosis treatment
treat cause
metabolic alkalosis causes
severe vomiting, excessive GI suctioning, diuretics, excessive NaHCO3
tx treat cause
its compensated when
pH is normal
positoning for rectal temp
sims
axillary
when cant take oral or rectal
wait 15 mins after food drink or smoking for oral temp
temperature.> 100.F or 38 Cpulse ox>95%NSAIDSbleeding concern,increase effects of anticoagulants,ibuprofen can cause hypoglycemia when taken with antidiabetic,dont take with ca blockerAcetaminophencontraindicated in hepatic/renal dx or alcoholism,monitor for liver damage Antidote-acetylcyslineNormal glucose levels70-100BUN5-20Cr.0.6-1.2USG1.003-1.030Total protein6.2-8.2Albumin3.5-5Bilirubin0.3-1 mg/dLALP40-120ALT7-56AST10-40RBC4.5-5.5WBC5,000-10,000Platelets150-400Hgb12-18hct37-52PT10-12INR< 1 warfarin 2-3aPTT30-40 seconds heparin 1.5-2.5 times normal rangeLDLwant low < 100HDLwant high >60Total cholesterol<200Triglycerides<150Digoxin0.5-2Lithium0.5-1.2Troponin< 0.3CK-MB3-5% 5-25CK levels22-198Myoglobin25-75