Acid Base Concepts: Classification + Interpretation Flashcards
What does the ABG allow for the assessment of?
Acid base status
Oxygenation status
What value best reflects acid base balance?
pH
What is pH a determination of?
the concentration of hydrogen ions in the blood
What is the normal range for pH?
7.35-7.45
A pH of 7.40 corresponds to what concentration of hydrogen ions?
40 nanomole/Liter
A pH of 7.0 corresponds to what concentration of hydrogen ions?
100 nanomols/L
What is an acid?
any substance that releases hydrogen ions in a solution
What is a base?
any substance that accepts hydrogen ions in a solution
What can an abnormal blood pH result in?
Decreased oxygen delivery to tissues
Changes in myocardial contractility
Electrolyte disturbances
What re the primary organs that regulate acid base balance?
Lungs and kidneys
What symptoms are associated with alkalemia?
irritability
dysrhythmias
convulsions
death
Describe the relationship between pH and hydrogen ion concentration
Inverse
What symptoms are associated with acidemia?
drowsiness
lethargy
Coma
Death
How does a change in PaCO2 effect pH?
A change of 12 mmHg in PaCO2 will cause the pH to change by 0.1 in the opposite direction