Acid base imbalance SG Test 6- DONE

Question 1

2 main organs responsible for regulating acid base balance

Answer 1

Lungs & kidney

Question 2

Nursing actions post ABG draw

Answer 2

Monitor airway
Apply pressure

Question 3

When are ABGs drawn? (why)

Answer 3

-Good indicator of oxygenation status
-medical emergencies
-before, during and after surgery (anesthesia)
-To check for severe breathing & lung problems
-To measure if treatment for lung conditions like: asthma, COPD, cystic fibrosis, and heart disease are working properly.

Question 4

Acid base imbalance ranges

Answer 4

PH: 7.35-7.45
PaCo2: 45-35
HcO3: 22-26

Question 5

Respiratory Acidosis Causes: (pp slide 8)

Answer 5

-decreased or no respirations
(COPD, overdose, Pneumonia, smoke inhalation, Pneumothorax, Airway obstruction)

Question 6

Respiratory Alkalosis Causes: (pp slide 9)

Answer 6

-anxiety
-pain
-fever
-hypotension
-hypoxia
-CHF
-PE (pulmonary embolism)
-Sepsis
-Salicylate overdose (aspirin)

Question 7

Metabolic Acidosis Causes: (pp slide14)

Answer 7

-Cardiac arrest
-renal failure
-DKA
-diarrhea for a long time
-ASA or antifreeze overdose

Question 8

Metabolic Alkalosis Causes: (pp slide 15)

Answer 8

-excessive bicarbonate-containing drugs
-diuretic therapy
-vomiting
-naso-gastric suctioning
-nausea

Question 9

Manifestations of respiratory acidosis

Answer 9

-Altered LOC
-Diaphoresis
-headache
-warm flushed skin
-dizziness
breathing too little

Question 10

Manifestations of respiratory alkalosis

Answer 10

Hyperventilation
-numbness/tingling toes
-seizures
-respiratory rate greather than 20
-decreased potassium
-tachycardia
breathing too much

Question 11

Manifestations Metabolic acidosis

Answer 11

-Kussmaul respirations (slow , shallow breathing)
-warm flushed skin
-tachycardia
-hypotension
-tachypnea (fast breathing)
-confusion or coma
-headache
diarrhea

Question 12

Manifestations of metabolic alkalosis

Answer 12

-bradypnea
-tachycardia
-hypotensive
-muscle weakness
-fatigue
vomiting