Acid-Base Flashcards
What pH is considered acidosis
< 7.35
What pH is considered alkalosis
> 7.45
Respiratory acidosis basically mean
Too much CO2 due to hypoventilation
Metabolic acidosis basically means
Too much H or loss of bicarbonate
Respiratory alkalosis basically means
Not enough CO2 due to hyperventilation
Respiratory acidosis pH and Bicarb changes
Decrease in pH
Minor increase in Bicarb due to compensation
Respiratory acidosis CO2:HCO3 ratio
1:0.1
Respiratory alkalosis CO2:HCO3 ratio
1:0.2
Kidney compensation CO2:HCO3 ratio due to Respirtoary acidosis
1:0.35
Winter’s equation for metabolic acidosis compensation
Predicted PaCO2=
(1.5 X HCO3) + 8
Kidney compensation CO2:HCO3 ratio for Respiratory alkalosis
1:0.5
Plasma Anion Gap=
Na - (Cl + HCO3)
MUDPILES elevate gap in metabolic acidosis
- Methanol
- Uremia (Kidney failure)
- Diabetic ketoacidosis
- Paraldehyde
- Iron, Isoniazid
- Lactic acidosis
- Ethylene glycol, Ethanol ketoacidosis
- Salicylate, Sepsis
HARDUP non-elevated gap
- Hypercholermia
- Acetazolamide
- Renal tubular acidosis
- Diarrhea
- Ureteral diversion
- Pancreatic fistula