acid interpretation Flashcards

1
Q

what is normal blood ph ?

A

7.35 to 7.45

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2
Q

what are the 2 systems that help maintain acid-base balance?

A

renal system
respiratory system

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3
Q

how does renal system help correct acid base balance ?

A

amount of bicarb we are producing and excreting

amount of hydrogen we are producing and excreting

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4
Q

how does respiratory help correct acid base balance?

A

changing respiratory depth and rate
changing amount of co2 we are breathing in and out

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5
Q

how is alkalosis caused by ?

A

caused by loss of too much acid or retention of too much base

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6
Q

how is acidosis caused by ?

A

by retention of too much acid or loss of too much base

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7
Q

how do you get respiratory acidosis ?
compensation?
presentation ?
severe presentation ?

A

co2 excess, hypoventilation, respiratory failure

kidneys conserve hco3 and excrete h+ into urine

confusion, easy fatigue, leathery, sob, sleepiness, tachycardia, tachypnea

bradycardia

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8
Q

how do you get metabolic acidosis ?
compensation?
presentation ?
severe presentation ?

A

ketoacidosis, lactic acid, severe diarrhea, kidney disease

increased co2 excretion - kussmual respiration ( deep and rapid ), kidney secrete hydrogen

lethargy, confusion, dizziness, headache, coma, dysrhythmias, cool skin, n/v/d, muscle weakness, deep, rapid respirations

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9
Q

how do you get respiratory alkalosis ?
compensation?
presentation ?
severe presentation ?

A

co2 deficit- hypoxemia from acute pulmonary disorders, hyperventilation

rate if acute, if chronic increased hco3 excretion

tachypnea, anxiety, tetany, numbers, tingling, convulsions, palpitations, chest pain

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10
Q

how do you get metabolic alkalosis ?
compensation?
presentation ?
severe presentation ?

A

prolonged gi suctioning, vomiting, diuretic use, hypokalemia

renal excretion of hco3, decreased respiratory rate to increase co2

numbness, tingling, tetany, weakness, hyperrefelxia, confusion, hypoventilation

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11
Q

what is normal ph ?
what is considered acidosis is ?
what is considered alkalosis ?

what is normal paco2
what is normal hco3 ?
what is normal pao2?

A

7.35-7.45
<7.35
>7.45

35-45
22-26
80-100

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12
Q

what is paco2 ?
what is hco3 ?
what is pao2?

A

amount of carbon dioxide dissolved in arterial blood

amount of bicarbonate in the bloodstream

oxygen that is dissolved in arterial blood

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13
Q

respiratory acidosis
- proper definition of each

respiratory alkalosis

metabolic acidosis

metabolic alkalosis

A

the lungs are unable to excrete enough co2

the lungs excrete too much carbonic acid

occurs from an increase of metabolic acid or decrease of base

occurs from a direct increase of base or a decrease of metabolic acid

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14
Q

arterial blood gas valves provide information about ?

A

acid bae status
underlying cause of imbalance
body ability to regulate ph
overall oxygen status

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15
Q

if its a respiratory problem
what compensates?

A

kidneys

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16
Q

what is the anagram to help remember how to interpret acid base ?

A

ROME

17
Q

what does Rome stand for ?

A

respiratory
opposite
metabolic
equal

18
Q

respiratory
opposite
alkalosis __ph and ___paco2
acidosis ___ph and ___paco2

metaboolic
equal
acidosis ___ph and ___hco3
alkalosis __ph and ___hco3

A

increase and decrease
decrease and increase

decrease ph and decrease
increase ph and increase