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Skills Exam 2

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- PO or enema
- need to get rid of potassium or it can kill you
- watch for constipation, gastric irritation, diarrhea, sodium retention, and hypokalemia
- watch heart rate and sodium levels

- Respiratory Opposite:
---------high pH=low CO2, low pH=high CO2
- Metabolic Equal:
---------high pH=high HCO3, low pH=low HCO3

- low pH, high CO2
- hypoventilation, hyperkalemia, shallow respirations, nausea and vomiting, numbness and tingling
- use ventilator
- causes: COPD, pneumonia, atelectasis

- high pH, low CO2
- hyperventilation, hypokalemia, deep respirations, muscle weakness, cyanotic pale skin
- causes: hyperventilation (stress), mechanical ventilation

- low pH, low HCO3
- hyperventilation, hyperkalemia, muscle twitching, increased body temp.
- check renal labs
- causes: DKA, severe diarrhea, renal failure, shock

- high pH, high HCO3
- hypoventilation, hypokalemia, tremors/cramps/tingling, nausea
- causes: severe vomiting, excessive GI suctioning, diuretics, excessive NaHCO3

What tubing is used for blood transfusions?

SCDs

- D5 ½ NS
- D5 NS

- D5W