ABG Phan Flashcards

1
Q

If there is an increased in pH than what will happen to H+

A

H will decrease

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2
Q

How long is the acid base mechanism of the kidneys, in regards to HCO3?

A

24 hours. Excretes and reabsorbes

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3
Q

How long does the control mechanism take in the lungs, in regards to CO2?

A

Minutes.

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4
Q

Why do we avoid doing ABG’s at the brachial after in obese patients?

A

Difficulty attaining homeostasis, increased potential for bleeding, and takes longer to clot.

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5
Q

Why dont we do ABG’s on femoral artery?

A

Increased rate of hematoma, infection, and thrombus.

Used as last resort.

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6
Q

What is the angle used when obtaining an ABG at the radial or brachial site?

A

30-60 degrees.

60-90 for femoral.

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7
Q

What are some complications from A lines?

A
Bleeding, 
infection
Thrombus, 
NV impairment
Loss of limb.
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8
Q

What acid does the resp system produce?

A

CO2

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9
Q

What is a substance that accepts H ions in a solution?

A

Base

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10
Q

In acidosis what will H and HCO3 look like?

A

Excessive H

HCO3 low

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11
Q

Increased CO2 and shallow breathing will result in what?

A

Respiratory acidosis. Due to hypoventilation.

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12
Q

What are some causes of respiratory acidosis?

A
Always think hypoventilaion. 
Drug OD
Chest trauma
Pulmonary edema
COPD
Sedation
Neuromuscular disease
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13
Q

A decrease in CO2 will result in what?

A

Respiratory alkalosis

Hyperventilation

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14
Q

What are some other causes of resp alk?

A
Increased CO2 due to hyperventilation.
Anxiety
High altitudes
Preg
Fever
Hypoxia
Excessive tidal volumes
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15
Q

What are some causes of metabolic acidosis?

A
DKA
Diarrhea
Renal failure
Shock
Salicylate OD
Sepsis
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16
Q

Why would diarrhea cause met acidosis?

A

Lose HCO3.

Ass-adosis

17
Q

Why would renal failure cause met acidosis?

A

Can’t reabsorbe HCO3. So only acid left.

18
Q

Why would shock lead to met acidosis?

A

Decreased BP, vasoconstriction, cell lyes and release K

19
Q

Why would salicylate OD lead to met acid?

A

Build up of acidic toxins

20
Q

Why would sepsis lead to met acid?

A

Decreased BP, vasoconstriction, cell lyse releasing K

21
Q

Is K acidic or alkalinic?

A

Acidic

22
Q

What are some causes of metabolic alkalosis?

A

Loss of gastric secreations (NG suction taking acids away)
Overuse of antacids (too much HCO3)
K wasting diuretics (lasix, losing too much acid, base left)

23
Q

If the pH and HCO3 fall in the same column than the problem is?

A

Metabolic

24
Q

If the pH and CO2 fall in the same column than the problem is?

A

Respiratory

25
Q

If the pH is within the normal range but the other parameters are not, than?

A

Complete compensation is occurring