Nurs 50 Comprehensive Final Exam Questions (195 Terms) With Verified Definitions Updated 2024

Respiratory acidosis {Ans: Cause Hypoventilation Sleep apnea Head trauma "Knocked out" Post operative (waking up from the anesthesia) Drugs=CNS depressants Opioid overdose Alcohol intoxication Benzodiazepines (Diazepam) Pneumonia COPD or asthma attack S/sx Low and slow RR rate Acute resp. acidosis Mental cloudiness Dizziness Muscular twitching Unconsciousness ABG's pH <7.35 PaCO2 >45 mmHg (primary) HCO3 normal or only slightly elevated Chronic resp. Acidosis Weakness Dull headache ABG's pH <7.35 or low N PaCO2 >45 mmHg (primary) HCO3- >26 mEq/L (compensatory) Treatment Tx is directed at improving ventilation Pharmacologic measures Pulmonary hygiene measures Adequate hydration Supplemental oxygen Mechanical ventilation may be necessary to correct disorder but must be used cautiously to decrease PaCO2 slowly}Biggest complication for treating neoplasia patient? {Ans: Infection}Post-operative complications {Ans: Shock- -Hypovolemic shock can be avoided largely by the timely administration of IV fluids, blood, blood products, and medications that elevate blood pressure. -Due to inadequate tissue perfusion, 1st sign is decreased urine output -Intervention: shock position (supine w/ legs elevated 30-45 deg), maintain airway, monitor VS, body warmth, and maintain tissue perfusion by eliminating the cause of shock Hemorrhage- Leads to shock Intervention: apply pressure, notify intervention team and surgeon immediately. Prepare pt to return