Acid Base Disorders Flashcards
Primary disturbance
Metabolic acidosis
Decreased HCO3
Primary disturbance
Metabolic alkalosis
Increased HCO3-
Primary disturbance
Repiratory acidosis
Increased CO2
Primary disturbance
Respiratory alkalosis
Decreased CO2
Respiratory compensation
Metabolic acidosis
Hyperventilation
Respiratory compensation
Metabolic alkalosis
Hypoventilation
Respiratory compensation
Respiratory alkalosis
None
Respiratory compensation
Respiratory acidosis
None
Renal compensation
Metabolic acidosis
None
Renal compensation
Metabolic alkalosis
None
Renal compensation
Respiratory acidosis
Increased H excretion
Increased HCO3 reabsorption
Renal compensation
Respiratory alkalosis
Decreased renal H excretion
Decreased HCO3 reabsorption
Chronic renal failure
Metabolic acidosis
Failure to excrete H as titrable acid and NH4
Increased anoin gap
Salicylate intoxication
Metabolic acidosis, by increasing anion gap
Repiratory alkalosis by direct stimulation of medullary respiratory center
Methanol/formaldehyde intoxication
Metabolic acidosis
Produces formic acid
Increased anion gap
Ethylene glycol intoxication
Metabolic acidosis
Produces glycolic and oxalic acid
Increased anion gap
Diarrhea
Metabolic acidosis
GI loss of HCO3
Normal anion gap
Type 1, 2, 4 RTA
Metabolic acidosis
1 failure to excrete titratable acid and NH4, normal AG
2 renal loss of bicarbonate
4 hypoaldosteronism, failure to excrete NH4, hyperkalemia caused by lack of aldosterone inhibits NH3 synthesis, normal anion gap
Vomiting
Metabolic alkalosis
Loss of gastric H, hypo K, volume contraction, may have increase anion gap due to increased ketoacids in starvation
Hyperaldosteronism
Metabolic alkalosis
Increased H secretion by distal tubule, increased new HCO3 reabsorption
Loop or thiazide diuretics
Metabolic alkalosis (volume contraction alkalosis)
Airway obstruction
Respiratory acidosis
ARDS
COPD
Respiratory acidosis
Opiates, sedatives, anesthetics
Respiratory acidosis
Inhibition of medullary respiratory center
GBS, Polio, ALS, multiple sclerosis
Respiratory acidosis
Weakening of respiratory muscles
Pneumonia
Respiratory alkalosis
Hypoxemia—>increase ventilatory rate
Pulmonary embolus
Respiratory alkalosis
Hypoxemia—>ventilatory rate
High altitude
Respiratory alkalosis
Hypoxemia increases ventilatory rate