ACID BASE BALANCE (acidosis)

Question 1

In metabolic acidosis, which organ is sick? who’s going to compensate?

Answer 1

the kidneys;

the lungs

Question 2

What happens in metabolic acidosis?

___ are sick

___ are compensating

You’ll have an ___ in respiratory rate to blow off ___

this will cause the _____ to decrease

Answer 2

1- The kidneys are sick

2- lungs

3- increased RR

4- PCO2 will decrease (arterial blood co2)

Question 3

What happens in respiratory acidosis?

___ are sick

____ are compensating by retaining and secreting___ & excreting_____

So, this will cause the Bicarb on ABG’s to ___

(How many days will it take to see the changes in Bicarb?)

Answer 3

1- lungs

2- kidneys; bicarb; hydrogen

3- increase

(3 days)

Question 4

If a patient is breathing too slowly, too shallow, or not at all,
this patient will experience respiratory____

increased Co2= ____ LOC

Increased CO2=____ O2

Answer 4

acidosis

Decreased

Decreased

Question 5

Early signs of hypoxia:

Late signs of hypoxia:

Answer 5

• Restlessness and tachycardia

- bradycardia & cyanosis

Question 6

Name of the drug that will help correct acidosis IV?

Answer 6

Sodium Bicarb

Question 7

When you see a restless patient, what should you think first?

Answer 7

HYPOXIA

Question 8

DKA & Starvation can cause metabolic acidosis because:

When you’re starving you break down____, produce___ which are just___

Answer 8

fat; ketones; acid

We have a build up of acid in the blood because of the excessive fat break down that’s occurring

Question 9

Anytime you have poor gas exchange, think____

Answer 9

respiratory acidosis

Question 10

What’s the relationship between potassium & acidosis?

Answer 10

You get hyperkalemic because acidosis makes K leak out of cells (you get increased serum potassium)