Acid-Base

Question 1

pH Levels

Answer 1

7.35-7.45

Question 2

HCO3 (BiCarb) Levels

Answer 2

21-28
-(was 22-26)

Question 3

What type of issue when Both PH and Bicarb (HCO3) are in the Same Direction

Answer 3

MetaBolic issue

Question 4

What type of issue when pH and Bicarb (HCO3) are Not in the same direction

Answer 4

Respiratory issues

Question 5

What is it when the PH is high

Answer 5

Alkalosis

Question 6

What is it when PH is low

Answer 6

Acidosis

Question 7

What are symptoms of high PH (Alkalosis)

Answer 7

Everything speeds up
Tachycardia, tachypnea, HTN, diarrhea, seizure, hyperreflexia (+3, +4), agitated

Question 8

What are symptoms of low PH (Acidosis)

Answer 8

Everything slows down
Bradycardia, Bradypnea, HToN, Anorexia, Coma, Lethargy, Hyporeflexia (+1, 0)
-High K+

Question 9

Symptoms of high K+

Answer 9

Acidosis state (low PH)–> Everything Slow Down
-Bradycardia, Bradypnea, HToN, Anorexia, Coma, Lethargy, Hyporeflexia (+1, 0)

Question 10

Symptoms of Low K+

Answer 10

Alka-Low-sis (Alkalosis state) PH high
–> Everything Speeds Up
-SEIZURE, Tachycardia, tachypnea, HTN, diarrhea, hyperreflexia (+3, +4), agitated

Question 11

Main nursing interventions for High PH Levels
-What state is it Alkalosis or Acidosis?
-What K+ level is it?

Answer 11

Seizure precautions–> Suction ready at beside
Alkalosis state & Low K+

Question 12

Main nursing interventions for Low PH Levels
-What state is it Alkalosis or Acidosis?
-What K+ level is it in?

Answer 12

Ambu bag/intubation kit at bedside & Ventilation for Respiratory Rest (Lethargic/Braadycardic everything slowed down)
Acidosis State & High K+

Question 13

K+ Levels

Answer 13

3.5-5

Question 14

What is the State when pt. is being Over Ventilated?

Answer 14

Respiratory Alkalosis
-Alkalosis is High PH so Over Norm PH Level

Question 15

What is the State when pt. is being Under Ventilated?

Answer 15

Respiratory Acidosis
-Acidosis is Low PH, so Under Norm PH Level

Question 16

What is the State when pt. is prolong Vomiting or receiving prolonged Suctioning?

Answer 16

Metabolic Alkalosis
-Losing Acid due to vomit or suction causing more Base in the system

Question 17

What State is the pt. in when it is not due to Lungs, Vomiting, Or Suctioning

Answer 17

Metabolic Acidosis
-Pt. is becoming more Acidic
-MAKE AS DEFUALT ANSWER (when in doubt Metabolic Acidosis

Question 18

Kussmaul Respiration is a compensatory mechanism seen in what Acid-Base Imbalance?

Answer 18

Metabolic Acidosis
-MAC Kussmaul –> Metabolic ACidosis

Question 19

High Pressure Ventilation Alarm is triggered by?

Answer 19

High resistance to air flow–> OBSTRUCTION

Question 20

Low Pressure Ventilation Alarm is triggered by?

Answer 20

Low resistance to air flow–> DISCONNECTION

Question 21

If ventilation is to HIGH of setting pt. will be in what acid-base imbalance?

Answer 21

Respiratory Alkalosis
-Pt. is being OVER ventilated, so PH High=Alkalosis

Question 22

If ventilation is to LOW of setting pt. will be in what acid-base imbalance?

Answer 22

Respiratory Acidosis
-Pt. is being UNDER ventilated, so PH LOW=Acidosis