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bubbles.png

Metabolic Alkalosis Assessment

Recall metabolic alkalosis assessment by the metal-ball elk-loser and Assess-man being bullied in highschool. This physiological state causes an increased pH level greater than 7.45, the up-arrow pH greater-than 7.45 post, as well as an increased bicarbonate level greater than 26, the Up-arrow Bi-car-bombs being heaved at the elk greater than 26. Patients begin to display an excitable state being hyperreflexic, anxious and having more activity, shown by the excited-state who teasing the poor elk and breaking his arrhythmia-drum, as arrhythmia can also occur with metabolic alkalosis. Paresthesias may develop, the Paris T-shirt, along with muscle cramps, the muscle clamp. Muscle weakness can occur, the weak-drooping-muscle on the muscle-man bully, who is throwing down the down-arrow respirator, as this weakness can lead to decreased respiratory effort. So let’s revisit metabolic alkalosis. There is an increased blood pH of 7.45, as well as increased bicarbonate value above 26. Patients displays signs of an excitable state and can have arrhythmias, paresthesias and muscle cramps. Muscle weakness can develop, which can lead to decreased respiratory effort.

educational

story

metal ball elk loser and assess man.png

title metabolic alkalosis assessment.png

Metal-ball Elk-loser and Assess-man

up arrow ph greater than 7.45.png

Up-arrow pH Greater-than 7.45

Increased pH > 7.45

Which of the following assessments would most likely be indicative of metabolic alkalosis?

up arrow bi car bomb greater than 26.png

Up-arrow Bi-car-bomb Greater-than 26

Increased HCO3 > 26

excited state.png

Excited-state

Excitable State

broken arrhythmia drum.png

Broken Arrhythmia-drum

Arrhythmias

paris t shirt.png

Paris T-shirt (Pins-and-needles)

Paresthesias

muscle clamp.png

muscle for clamp.png

Muscle Clamp

Muscle Cramps

weak drooping muscle.png

Weak-drooping-muscle

Muscle Weakness

down arrow respirator.png

Down-arrow Respirator

Decreased Respiratory Effort

Signs and Symptoms

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PANCE Prep Pearls: 1st Ed, 2014

PANCE Prep Pearls: 2nd Ed, 2017

Potter, Perry, Stockert & Hall, 2017, Fundamentals of Nursing, 9th Ed.

Metal-ball Elk-loser and Assess-man are the biggest losers in the school. &nbsp;They are constantly being bullied and today is no different. &nbsp;They’ve been forced to climb the Up-arrow pH strip Greater-than 7.45 like a flag pole. Only to have Bi-car-bombs Greater-than 26 thrown up at them. The bully is the mean Excited State, who get his thrills from making elk cry. He even kicks in the band geek's arrhythmia drum, breaking it. Then to make matter worse they pin him up against the lockers in his Paris t-shirt. &nbsp;This time the bully comes in the form of a muscle man and he's so tough that he has clamps on his muscles but he's been bullying poor elk so long that he has weak-drooping-muscles. But he was able to throw out elks nerdy headgear, his respirator. Will elk ever man up and face his bullies? Find out in metabolic alkalosis interventions.

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Picmonic NCLEX Question of the Day 10/23/2021

Picmonic NCLEX® Question of the Day

The nurse is interpreting the following set of laboratory values: pH 7.47; CO2 50mEq/L; HCO3 35mEQ/L. How should the nurse interpret the following values?

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