Acid Base and Beyond Flashcards
Work as a team, select (1) person to write your response on the board. If your answer is incorrect, your team loses (1) person for the session.
pH 7.64, PaCO2 25, HCO3- 19
Respiratory Alkalosis, Partially Compensated
pH 7.5, PaCO2 19, HCO3- 22
Respiratory Alkalosis, Uncompensated
A patient involved in an MVC is in a state of emotional distress. He feels dizzy, tingling in his fingertips, and does not remember what happened to his car. RR- 34. Which primary acid-base disturbance is likely?
Respiratory Alkalosis
The ABG: pH 7.35, PaCO2 72 mmHg, and HCO3 38 mEq/L.
Compensated Respiratory Acidosis
pH 7.57, PaCO2 22, HCO3- 17
Respiratory Alkalosis, Partially Compensated
pH 7.6, PaCO2 53, HCO3- 38
Metabolic Alkalosis, Partially Compensated
pH 7.55, PaCO2 25, HCO3- 22
Respiratory Alkalosis, Uncompensated
pH 7.34, PaCO2 24, HCO3- 20
Metabolic Acidosis, Partially Compensated
A patient reports coffee ground emesis and is lethargic.
ABG: pH 7.57, PaCO2 37 mmHg, and HCO3 30 mEq/L.
Metabolic Alkalosis
pH 7.45, PaCO2 50, HCO3- 30
Metabolic Alkalosis, Fully Compensated
A patient was drinking beer at a party, fell, and hit their head. HR- 110, RR- 8 and shallow, and is profusely bleeding from both ears. Which primary acid-base imbalance is likely?
Metabolic Acidosis
A patient is anxious and scared. He begins to hyperventilate and becomes very dizzy. ABG: pH 7.61, PaCO2 22 mmHg, and HCO3 25 mEq/L.
Respiratory Alkalosis
A mountaineer climbs a mountain and reaches an altitude of 16,400 ft above sea level. Which primary acid-base disturbance is likely?
Respiratory Alkalosis
An infant has been irritable, difficult to breastfeed, and has had diarrhea for the x 3 days. RR- 40 and the fontanels are sunken.
ABG: pH 7.39, PaCO2 27 mmHg, and HCO3 19 mEq/L.
Compensated Metabolic Acidosis
A patient has experienced persistent vomiting for two days. They appear to be lethargic and weak and has myalgia.
ABG: pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L.
Metabolic Alkalosis
pH 7.39, PaCO2 44, HCO3- 26
Normal
pH 7.17, PaCO2 48, HCO3- 36
Respiratory Acidosis, Partially Compensated
A patient is found comatose, having taken an unknown number of sleeping pills. pH 6.90, HCO3- 13 meq/liter, and PaCO2 68 mmHg.
Respiratory and Metabolic Acidosis
A 54-year-old with a history of COPD and increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum x 3 days. HR: 112, RR 24, LS- crackles and wheezes in the lower lobes. ABG: pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg.
Partially Compensated Respiratory Acidosis
A 6-year-old at an urgent care has been vomiting, nauseated, and has overall weakness. K+- 2.9 mEq. Which primary acid-base imbalance is likely?
Metabolic Alkalosis
A patient admits that her mother has taken many tablets of aspirin over the last 24-hour period because of a severe headache. HR- 95, RR- 32, deep. Which primary acid-base imbalance is likely?
Metabolic Acidosis
A patient is difficult to arouse two hours following outpatient surgery. HR- 60, RR- 7.
ABG: pH 7.10, PaCO2 70 mm Hg, and HCO3 24 mEq/L.
Respiratory Acidosis
An elementary student was rushed to the hospital due to vomiting and a decreased level of consciousness. The patient displays slow and deep breathing. He has a two-week history of polydipsia, polyuria, and weight loss.
ABG: pH 7.0, PaO2 90 mm Hg, PaCO2 23 mm Hg, and HCO3 12 mmol/L.
partially Compensated Metabolic Acidosis
A patient fell to the ground and hurt her left leg. HR-123. RR- 26. Suddenly, she started complaining that she is still in pain and experiencing muscle cramps, tingling, and paraesthesia.
ABG: pH 7.6, PaO2 120 mm Hg, PaCO2 31 mm Hg, and HCO3 25 mmol/L.
Respiratory Alkalosis
High CO2 increases/decreases the affinity of Hgb for O2. Referred to as the ____ effect, causing a right/ left shift of the oxyhemoglobin curve.
decreases
Bohr
right
Name (1) type of patient are you likely to find this waveform (Phase 4)?
Due to poor compliance, atelectasis- These patients progress quickly from respiratory distress to respiratory failure:
Pregnant
Obese
Severe pulmonary edema
Which burns more deeply causing liquification necrosis:
Acid
Alkali
Alkali
