Acid-Base Balance Flashcards

(49 cards)

1
Q

What is the normal body pH?

A

7.35-7.45

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2
Q

What is acid?

A

release hydrogen ions

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3
Q

What is base?

A

accept hydrogen ions

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4
Q

What is a buffer system?

A

function to convert strong acids or bases into weak acids or bases

-bicarbonate
-phosphate
-protein

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5
Q

What is the value of acidosis?

A

pH below 7.35

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6
Q

What is the value of alkalosis?

A

pH above 7.45

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7
Q

What is hydrostatic pressure?

A

the pressure within a blood vessel that tends to push water out of the vessel

-arterial side of capillary bed

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8
Q

What is osmotic pressure?

A

the external pressure that must be applied to stop osmosis

-venous side of capillary bed

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9
Q

HIGH Hydrogen ion concentration = ?

A

Acidosis (low pH)

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10
Q

LOW hydrogen ion concentration = ?

A

Alkalosis (high pH)

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11
Q

What is PaCO2?

A

partial pressure of carbon dioxide in arterial blood

35-45 mmHg

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12
Q

What is PaO2?

A

partial pressure of oxygen in arterial blood

80-100 mmHg

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13
Q

PaCO2 < 35 mmHg = ?

A

hypocapnia

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14
Q

PaCO2 > 45 mmHg = ?

A

hypercapnia

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15
Q

What is HCO3?

A

Bicarbonate concentration in plasma

22-26 mEq/L

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16
Q

What is BE?

A

bases excess; a measure of buffering capacity

-3 to +3

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17
Q

What do Metabolic disorders do?

A

affect the blood acidity by causing changes in the HCO3-(bicarb)

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18
Q

What do Respiratory disorders do?

A

affect the blood acidity by causing changes in the PaCO2(carbonic acid)

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19
Q

What is ROME?

A

Respiratory - Opposite
Metabolic - Equal

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20
Q

What does respiratory alkalosis look like?

A

high pH(>7.45); low PaCO2(<35)

21
Q

What does respiratory acidosis look like?

A

low pH(<7.35); high PaCO2(>45)

22
Q

What does metabolic acidosis look like?

A

low pH (<7.35); low HCO3 (<22)

23
Q

What does metabolic alkalosis look like?

A

high pH (>7.45); high HCO3 (>26)

24
Q

Risk factors of metabolic acidosis include…

A

-type 1 diabetes
-acute/chronic renal failure
-GI alterations

25
Pathophysiology of metabolic acidosis
-excess loss of bicarb -accumulation of metabolic acids
26
Metabolic alkalosis causes...
-increased acid loss -increased bicarbonate
27
Metabolic alkalosis compensation is...
respiratory rate and depth DECREASE, retaining CO2
28
Metabolic acidosis causes...
-increase acid production -decreased acid secretion
29
Metabolic acidosis compensation is...
respiratory rate and rhythm INCREASE, eliminating CO2
30
Acute respiratory acidosis causes...
-opioid overdose -chest trauma
31
Chronic respiratory acidosis causes...
-COPD -cystic fibrosis
32
Respiratory acidosis compensation is...
Kidneys conserve HCO3(bicarb)
33
Respiratory alkalosis causes...
hyperventilation fever
34
Respiratory alkalosis compensation...
kidneys excrete HCO3(bicarb)
35
Metabolic acidosis manifestations include...
headache, weakness, fatigue, nausea, deep & rapid respirations
36
What helps metabolic acidosis?
saline solutions and glucose
37
Metabolic alkalosis manifestations include...
Tetany, confusion, dizziness, depressed respirations
38
What helps metabolic alkalosis?
potassium chloride sodium chloride acidifying solution
39
Respiratory acidosis manifestations include...
headache, weakness, irritability, decreased LOC, blurred vision, sleep disturbances
40
What helps respiratory acidosis?
bronchodilators and antibiotics
41
Respiratory alkalosis manifestations include...
lightheadedness, numbness and tingling, seizures
42
What helps with respiratory alkalosis?
sedatives breathe in paper bag (hyperventilation)
43
What are respiratory acidosis risk factors?
depressed ventilation chest trauma aspiration pneumonia
44
What are respiratory alkalosis risk factors?
hyperventilation/anxiety
45
When do you use hypotonic fluids?
When patient is very dehydrated and needs fluid
46
When do you use isotonic fluids?
When patient needs to be kept at a neutral fluid level
47
When do you use hypertonic fluid?
When patient is in fluid overload and needs to lose fluid
48
What is the MOST common metabolic/respiratory; alkalosis/acidosis?
Respiratory Acidosis
49
What is the LEAST common metabolic/respiratory; alkalosis/acidosis?
Metabolic Alkalosis