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NUR2392 / NUR 2392 Multidimensional Care II / MDC II Exam 2 (Latest) Rasmussen College

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NUR 2392 Multidimensional Care II / MDC II Exam 2 1. Which system is more powerful when compensating? - Kidneys: can result in rapid changes in ECF composition. Fully triggered for imbalance... of several hours to days. 2. How to evaluate that treatment is working for respiratory acidosis? - Maintains adequate gas exchange - Arterial pH above 7.2 and closer to 7.35 - PaO2 level above 90 mmHg or at least 10 mm Hg higher than their admission level - PaCO2 levels below 45 mmHg or at least 15 mm Hg below their admission level 3. Alkalosis pathophysiology - Alkalosis is a decrease in the free hydrogen ion level of the blood and is reflected by an arterial blood pH above 7.45. 4. Metabolic Alkalosis: Base excess in what? - 5. Cause of acid deficit? - 6. Hallmark of base excess acidosis? - 7. What is citrate? - 8. The nurse is reviewing the standing orders for a patient who was admitted for evaluation of chest pain. The patient has a history of chronic obstructive pulmonary disease (COPD) and his laboratory results and assessment reveal that he has mild respiratory acidosis. The nurse would question which order? A. Encourage oral fluids B. Keep head of bed elevated C. Oxygen therapy at 4 L/min as needed D. Bedrest with bathroom privileges only RATIONALE: 9. acidosis vs alkalosis (picture) 10. A patient is brought to the ed with respiratory depression the patient has a history of COPD what acid-based balance is most likely - 11. What can happen when blood is rapidly administered? - 12. The nurse is evaluating the laboratory work of a patient who has uncontrolled metabolic acidosis. Which outcome would result from this condition? A. pH 7.40 B.Pao2 98 mm Hg C. Bicarbonate 38 mEq/L D. Serum potassium 5.7 mEq/L RATIONALE: 13. Respiratory acidosis: what could cause retention of CO? - 14. Respiratory acidosis: laboratory assessment - 15. Acidosis: Interprofessional Collaborative Care - 16. What is the priority pt problem for the patient experiencing respiratory acidosis? - 17. Interventions for Respiratory Acidosis - 18. Metabolic acidosis: nursing interventions - 19. Metabolic acidosis: laboratory assessment - 20. Pathophysiology in Acidosis - 21. acid-base balance - 22. changes that can affect normal blood PH - 23. three parts to an ABG - 24. bases - 25. buffers - 26. body fluid chemistry - 27. ABG respiratory issues - 28. acids - 29. respiratory alkalosis - 30. metabolic alkalosis - 31. metabolic acidosis - 32. respiratory acidosis - 33. ABG metabolic issues - 34. metabolic Alkalosis neuromuscular changes - 35. Cardiovascular Changes - 36. Metabolic Acidosis CNS changes - 37. nursing Interventions for metabolic alkalosis - 38. respiratory alkalosis 39. inter professional or collaborative care for alkalosis 40. interventions responding to alkalosis 41. fully compensated - 42. if ph and co2 same side - 43. partial compensated - 44. Uncompensated - 45. metabolic alkalosis respiratory changes - 46. if PH and Hco3 same side - 47. Normal blood PH - 48. Causes of respiratory acidosis (low ph/ high CO2) - 49. Causes of Metabolic Acidosis (low pH/low HCO3) - 50. What is the third line of defense against pH changes? - 51. Acid-base Control Actions and Mechanisms: Kidney - 52. Compensation - 53. What pH is considered fatal? - 54. What system is more sensitive to acid-base changes? - 55. List the 5 possible acid-base imbalances - 56. Molecular causes of Metabolic acidosis - 57. Causes of metabolic acidosis - 58. Metabolic acidosis: clinical manifestations - 59. Respiratory acidosis - [Show More]

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