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QUESTION ABG Answer: ph; 7.35-7.45 co2; 35-75 hco3; 22-26 po2; 80-100 QUESTION normal values for usg with a patient with fluid volume excess Answer: 0/15-0/30 QUESTION what will you see with hypocalcemia Answer: trousseau's sign QUESTION decrease potassium
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Answer: ph; 7.35-7. co2; 35 - 75 hco3; 22 - 26 po2; 80 - 100
normal values for usg with a patient with fluid volume excess Answer: 0/15-0/
what will you see with hypocalcemia Answer: trousseau's sign
decrease potassium
Answer: Aldactone (spironolactone)
signs with hyponatremia Answer: confused with bounding pulse
List of patients which of the patients is at risk for fluid volume Imbalance (SATA) Answer: not kidney not heart not diarrhea
group of patients most at risk for hypokalemia Answer: wound drainage pt
Hypomagnesemia (SATA) Answer: Muscle & heart contractions, deep tendon reflexes, confusion (NO SELECT TACHY OR HYPERTENSION)
Hypercalcemia seen in what types of patients? Answer: Myeloma (multiple myeloma)
Severe anemia s/sx Answer: Pallor, tachycardia over 100 bpm
Hodgkin's Lymphoma: Answer: Red-Sternberg cells
Heparin-induced thrombocytopenia (HIT) Answer: Platelets will be under 100,
What drink do you give with Ferrous Sulfate? Answer: Take with pineapple juice
Taking ferrous sulfate, liquid version, what requires further teaching? Answer: avoid orange juice
What do you ask a patient with hemophilia? Answer: Any joint pain, color change in stool, bruise easily.
Four patients which at most risk for aplastic anemia Answer: Patient with history of chemotherapy
Pt with leukemia s/x Answer: Fever over 100.4 they're immunocompromised.
Pertussis (TDAP) Answer: Droplet precaution
Hyper kalemia. high potassium. Answer:
poor renal function, metabolic shifts, increased PO intake. O; irregular pulse muscle weakness abnormal pain paresthesia diarrhea vomiting confusion or irritability.
hypo kalemia. low potassium Answer: <3. Gi. Losses, through noxious nasogastric suctioning, diarrhea, use of diuretics, diaphoresis, wound drainage. O; constipation
hypercalcemia. Answer: <10. multiple myeloma. destruction of bone causes calcium loss from bones. O; fatigue, lethargy, confusion, weakness, depressed reflexes, seizures, and cardia dysrhythmias.
hypocalcemia Answer:
O; tetany: nerve sustained muscle contraction - BP cuff chevosks sign - tapping on cheeck
Hyperphosphaemia Answer:
4.5. acute kidney injury/chronic kidney disease. treatment options; administer phosphorous binder; helps prevent body from absorbing the phosphorus from food consumed.
Hypermagnesemia Answer:
renal failure. O; lethargy drowsiness muscle weakness urinary retention nausea, vomiting. poor deep tendon reflexes bradycardia hypotension resp/cardiac arrest
Hypomagnesemia Answer: <1. resembles hypocalcemia; chvoseks/trousseaus. Malnutrition and increased GI or kidney losses. Neuro muscular and CNS irritability O; confusion.
Patient with COPD s/sx: Answer: Anteroposterior diameter of chest increased
Answer: CAN ONLY REPORT, NOT TEACH
Patient needs further teaching for home O2 therapy: Answer: incorrect answer mentions tubing.
Patient with cystic fibrosis: Answer: Use chest vest/jacket to break up the mucus
Answer: 5mm, immunocompromised, recent organ transplant
Isoniazid for TB allergic reaction: Answer: Check liver enzyme labs monthly
Patient was recently exposed to TB: Answer: Sputum culture given looking for AFB (acid-fast bacillus)
Patient coming in with URI: Answer: early symptoms, restlessness.
Answer: 5,000-10,
red blood cells (erythrocytes) Answer: 4.2-6.1 million
Potassium (K+) normal range Answer: 3.5-5.
Calcium normal range Answer: 8.5-10.
Sodium normal range Answer: 135 - 145
fluid volume deficit
Answer: abnormal loss of body fluids. (Dehydration, diarrhea, vomiting, bleeding, polyuria) ex: gastroenteritis, diabetes.
fluid volume deficit lab finding Answer: increased sodium > increased BUN > increased HCT > increased urine osmolarity >
fluid volume excess Answer: abnormal increase of body fluids. (Water retention) ex: heart failure, renal failure, syndrome of inappropriate antidiuretic hormone)
fluid volume excess lab finding Answer: decreased sodium < decreased BUN < decreased HCT < decreased urine osmolarity <
