Guıde • Mark Klimek’S Lecture Nursing Notes

Guıde • Mark Klimek’S Lecture Nursing Notes

Lecture 1— Acid-Base Balance

Ventilators

Lecture 2— Alcohol

Wernicke

Overdose and Withdrawal

S/Sx

Aminoglycosides

Peak and Trough

Lecture 3— Drug Toxicities (Lithium,

Lanoxin, Dilantin, Bilirubin,

Aminophylline)

Kernicterus

Dumping/HH

Electrolytes: K+, CA, MG,

and NA

TX for HyperKalemia

Lecture 4— Crutches

Canes

Walkers

Delusions

Hallucinations

Psychosis

Psychotic and Non-Psychotic

Hallucination

Illusion

Delusion

Lecture 5— Diabetes Mellitus

Diabetes Insipidus

SIADH

Insulin

DKA

HHNK

Lecture 6— Drug Toxicities (Lithium,

Lanoxin, Dilantin, Bilirubin,

Aminophylline)

Kernicterus

Dumping/HH

Electrolytes: K+, CA, MG,

and NA

TX for HyperKalemia

Lecture 7— Thyroid (Hyper-, Hypo-)

Adrenal Cortex (Addison

Disease, Cushing)

Toys

Laminectomy

Lecture 8— Lab Values

Five Deadly Ds

Neutropenic Precaution

Lecture 9— Psych Drugs

Tri

Benzo

MAOI

Lithium

Prozac

Haldol

Clozaril

Zoloft

Lecture 10— Maternity and Neonatology

Lecture 11— Fetal Complications

Stages of Labor

Assessments

Variations for NB

Maternity Meds

Medication Hints

Psych Tips

Operational Stages

Lecture 12— Prioritization

Delegation

Staff Management

Guessing Strategies

GUIDE • Mark Klimek’s Lecture

Page 2 of 92

Page 3 of 92

Acid/Base Balance (Start times: 30:00)

In order to solve acid-base disorders, it is

important to know the normal values for

pH, CO2 and HCO3 (bicarbonate), which

are shown below

• pH 7.35 to 7.45

• CO2 35 to 45

• HCO3 22 to 26

The first value to look at in an acid-base

disorder is the pH

• If pH is <7>

is acidotic

• If pH is <7>

is alkalotic

Now, to determine if the imbalance is metabolic or respiratory, determine whether HCO3 goes

in the same or opposite direction with pH

• Rule of the Bs: If pH and Bicarb move both in the same direction, then the acid-base

imbalance is metabolic … Otherwise, it is respiratory

Example #1

• pH 7.3 Acidotic

• HCO3 20 Metabolic

• This is an example of metabolic acidosis

Example #2

• pH 7.58 Alkalotic

• HCO3 32 Metabolic

• This is an example of metabolic alkalosis

Example #3

• pH 7.22 Acidosis

• HCO3 35 Respiratory

• This is an example of respiratory acidosis

As the pH goes, so goes my patient, except for Potassium … That means

• If pH is low, everything is low, except potassium

• If pH is high, everything is high, except potassium