Acid-Base Flashcards
pH Levels
7.35-7.45
HCO3 (BiCarb) Levels
21-28
-(was 22-26)
What type of issue when Both PH and Bicarb (HCO3) are in the Same Direction
MetaBolic issue
What type of issue when pH and Bicarb (HCO3) are Not in the same direction
Respiratory issues
What is it when the PH is high
Alkalosis
What is it when PH is low
Acidosis
What are symptoms of high PH (Alkalosis)
Everything speeds up
Tachycardia, tachypnea, HTN, diarrhea, seizure, hyperreflexia (+3, +4), agitated
What are symptoms of low PH (Acidosis)
Everything slows down
Bradycardia, Bradypnea, HToN, Anorexia, Coma, Lethargy, Hyporeflexia (+1, 0)
-High K+
Symptoms of high K+
Acidosis state (low PH)–> Everything Slow Down
-Bradycardia, Bradypnea, HToN, Anorexia, Coma, Lethargy, Hyporeflexia (+1, 0)
Symptoms of Low K+
Alka-Low-sis (Alkalosis state) PH high
–> Everything Speeds Up
-SEIZURE, Tachycardia, tachypnea, HTN, diarrhea, hyperreflexia (+3, +4), agitated
Main nursing interventions for High PH Levels
-What state is it Alkalosis or Acidosis?
-What K+ level is it?
Seizure precautions–> Suction ready at beside
Alkalosis state & Low K+
Main nursing interventions for Low PH Levels
-What state is it Alkalosis or Acidosis?
-What K+ level is it in?
Ambu bag/intubation kit at bedside & Ventilation for Respiratory Rest (Lethargic/Braadycardic everything slowed down)
Acidosis State & High K+
K+ Levels
3.5-5
What is the State when pt. is being Over Ventilated?
Respiratory Alkalosis
-Alkalosis is High PH so Over Norm PH Level
What is the State when pt. is being Under Ventilated?
Respiratory Acidosis
-Acidosis is Low PH, so Under Norm PH Level
What is the State when pt. is prolong Vomiting or receiving prolonged Suctioning?
Metabolic Alkalosis
-Losing Acid due to vomit or suction causing more Base in the system
What State is the pt. in when it is not due to Lungs, Vomiting, Or Suctioning
Metabolic Acidosis
-Pt. is becoming more Acidic
-MAKE AS DEFUALT ANSWER (when in doubt Metabolic Acidosis
Kussmaul Respiration is a compensatory mechanism seen in what Acid-Base Imbalance?
Metabolic Acidosis
-MAC Kussmaul –> Metabolic ACidosis
High Pressure Ventilation Alarm is triggered by?
High resistance to air flow–> OBSTRUCTION
Low Pressure Ventilation Alarm is triggered by?
Low resistance to air flow–> DISCONNECTION
If ventilation is to HIGH of setting pt. will be in what acid-base imbalance?
Respiratory Alkalosis
-Pt. is being OVER ventilated, so PH High=Alkalosis
If ventilation is to LOW of setting pt. will be in what acid-base imbalance?
Respiratory Acidosis
-Pt. is being UNDER ventilated, so PH LOW=Acidosis
