ABG's PFT's Flashcards
HCO3
High-alkalotic
Low-acidic
BE
High alkalotic
Low acidic
CO2
High acidic
Low alkalotic
Changes quickly
PO2
COPD won’t have normal O2 levels
Compensation vs no compensation
no compensation-change in pH but no change in HCO3/CO2
Respiratory alkalosis
High pH, low CO2
Hyperventilation, hypoxia
Corrected with paper bag/pain control, kidneys save acid and dump base
Respiratory acidosis
Low pH, high CO2
Obstructive lung disease, over sedan, hypoventilation
Correction-kidneys dump acid save base; narcan, BiPAP/ventilator, tracheostomy, ECMO
Metabolic alkalosis
high Ph, High HCO3
Loss of H or gain of HCO3
Loss of HCLfrom stomach, excessive antacids
Correction-electrolyte replacement, diomox/diuretic-takes time!
Metabolic acidosis
Low pH, low HCO3
DKA, poisoning, lactic acidosis, diarrhea, kidney disease
Correction-hyperventilation, BiCarb drip
Anion Gap
If high-high acid in blood
Low-low protein/electrolytes/lithium
If high, check creatine levels, GFR
Obstructive diseases
COPD, bronchiectasis, asthma, bronchitis, emphysema (CBABE)
Hard to get air OUT
FVC
if % changed by >10, albuterol works
DLCO
Function of capillary membrane
decreased in emphysema, pulmonary hypertension
Treated with amiodarone (side effects are a bitch-brachycardia, interstitial lung disease, thyroid, corneal/cutaneous, hepatic/hypotension)