17 and 18: Acid-Base Balance + Respiratory Emphasis Flashcards
PH for acidosis and alkalosis
<7.35 -> acidosis
>7.45 -> alkalosis
Changes in pH in relation to increase in HCO3 vs increase in CO2
Increased HCO3 -> increased pH
Increased CO2 -> decreased pH
What ABG changes in metabolic vs respiratory imbalances?
Metabolic: HCO3
Respiratory: CO2
Respiratory control system: four parts
- Peripheral chemoreceptors
- Medullary center
- Respiratory muscles
- Change in CO2, O2, and pH
History that may point to metabolic acidosis
Diabetic patient
What is the point of calculating anion gap?
To figure out if the body is producing extraneous acids, as its difficult to test for every known acid in the body
Reminder: equation for osmolarity of the blood
osmolarity = (2 Na) + (BUN/2.8) + (glucose/18)
What is the normal osmolarity of the blood?
About 290 mOsmoles/L (v tightly regulated)