Acid-base disorders Flashcards

1
Q

Difference between acidosis and acidemia?

A
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2
Q

Difference between alkalosis and alkalemia?

A
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3
Q

How is pH controlled by the body?
In the lungs?
In the kidneys?

A
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4
Q

What is the carbonic acid dissociation equation?

A
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5
Q

What does the Henderson-Hasselbalch Equation show?

A
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6
Q

What does Stewart’s strong ion difference look at?

A

Thinks just looking at H+ and HCO3- doesn’t work as it doesn’t give the entire picture
Adds in concentration of weak acids
Strong ion difference

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7
Q

What are the problems with Stewart’s strong ion difference?

A
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8
Q

What is measured when looking at the pH?

A

Look at the arterial blood gases - ABG and take measurements of gases, pH, ions

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9
Q

Why is standard bicarbonate needed?

A

Absolute bicarbonate is variable - affected by both respiratory and metabolic components

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10
Q

What is base excess?

A
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11
Q

What is standard bicarbonate?

A
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12
Q

What is the anion gap? What is a normal one?

A

Difference between measures anions and cations
Anion gap = [Na+] + [K+}

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13
Q

When is knowing the anion gap useful?

A

If you already know the cause, not that useful
Split up the potential causes of the metabolic acidosis

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14
Q

What can cause a wide anion gap? What causes a narrow anion gap i.e. high chloride?

A
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15
Q

What are the causes of metabolic alkalosis? What compensatory mechanism occurs?

A
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16
Q

What is respiratory acidosis? What are the causes? What is the compensatory mechanism?

A
17
Q

How to know if acidosis/alkalosis is chronic or acute?

A

If chronic, kidneys will have responded and will be compensating with either bicarbonate or acid production

18
Q

What is respiratory alkalosis? What are the causes? What are the compensations?

A
19
Q

How are ABGs interpreted?

A
20
Q

How are mixed acidosis interpreted from ABG?

A

Both respiratory and metabolic component pointing in the same direction - acidic or alkali