n2b8ter

the abg is metabolic alkalosis. the co2 drives the ph in the opposite direction. if it is elevated then the ph is low. if it is low, then the ph is high. that is how you can determine that it is respiratory cause. you see here the co2 is elevated and so is the ph. so, it cant be respiratory. so it has to be metabolic. and we see it is because with metabolic causes, the bicarb and the ph will change in the same direction. as we see with this abg, the bicarb is elevated and the ph is also elevated. so, since it is going in the same direction, the cause is metabolic. this website link explains abg's and even has a calculator that will tell u what the abg is when you put in the results. www.anisman.com the lungs are trying to raise the co2 so the ph will go back down to 7.45 here are some things that can cause metabolic alkalosis: in reference to website: http://www.tjc.edu/nursing/PatriciaCryer/blood_gases.htm LOSS OF HYDROGEN IONS THRU VOMITING, NG TUBES INCREASED INTAKE OF BICARB LOSS OF POTASSIUM FROM FISTUALS OR DIARRHEA IV BICARB, DIURETIC THERAPY MINERALOCORTICOIDS you have to treat the cause and monitor for adequate renal function. poor guy - he had to deal with pneumonia on top of everything else. hope this helps.

hi there. i work as an rt in north carolina. try freecme.com and also medscape.com. a lot of them will say that they are credits for physicians or nurses. but when i submitted them to my board for ceu's i never had a problem. we are required to get 10 ceu's. some of them are long. but its free and it would be the quickest way. also try nellcor.com. i think it will link you to what they call center for clinical excellence and you can register and get free ceu's there too. hope this helps. let us know.

I took interest in this topic because I have an autistic son. Im gonna post a link to the following website. http://en.wikipedia.org/wiki/Autism Autism is classified as a developmental disorder. You are correct in saying that there is debate on what causes it because we dont know. In my case, he sat up and said mama and dada on time. He walked at 12 months. But its like he regressed some and then did not talk normally until 3 and 1/2 yrs old. Thank God for my husband who is very supportive and a great dad to my son. We have a daughter together and she is normal. So I think its definately genetic. But I dont know for sure that something else didnt cause it. By the way, I have never done drugs nor did I drink during pregnancy. His bio father drank and did drugs. I found out the drug thing after I had already had my son. Maybe because his father did drugs caused something to be wrong with my son? I dont know. Wish there was a cure or surefire way to prevent it.

I deal with this issue all the time. I work as a respiratory therapist. We just love it when a pt. goes out to smoke and then comes back and calls for a neb tx or either we are making rounds and the nurse says they left the floor to go smoke. In that case, I document a deferred tx. But if they call for one and we have to go back up and give it after we just left the floor it really gets under our skin. We have a big workload/responsibilities and when you get a chance to take a break, you welcome that opportunity. I somehow wish these pts who smoke could see all the end stage lungers on bipap or on the vent or see those who are gasping for breath and headed that way. It's a sad way to live.