B4-051 Acid-Base Regulation by the Lung Flashcards

1
Q

which point represents mixed respiratory and metabolic acidosis?

A

point 6

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2
Q

identify non-compensated respiratory acidosis

A

point 5

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3
Q

identify compensated respiratory alkalosis

A

point 7

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4
Q

if the kidney excretes more alkaline urine during alkalosis, this

A

lowers pH toward baseline

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5
Q

during respiratory alkalosis, respiratory ventilation is

A

increased

CO2 decreases

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6
Q

indentify compensated metabolic acidosis

A

point 2

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7
Q

decreased alveolar ventilation will […] PaO2 and […] HCO3

A

decrease PaO2
increase HCO3

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8
Q

the compensation to metabolic acidosis is to

A

increase ventilation

will decrease bicarb and PCO2

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9
Q

the arterial hydrogen ion concentration and respiratory rate would be increased in compensated

A

metabolic acidosis

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10
Q

low PaO2 activates the chemoreceptors to

A

increase ventilation

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11
Q

pulmonary artery pressure increases in response to

A

hypoxia

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12
Q

stress can trigger the

A

sympathetic nervous system

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13
Q

[…] are released during periods of increased stress

A

cortisol

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14
Q

associated with anxiety, depression and activation of HPA axis and SNS

A

glucocorticoids

cortisol

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15
Q

stress is part of the […] response

A

fight or flight

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16
Q

three stages of the general adaptation response

A

Alarm
Resistance
Exhaustion

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17
Q

associated with chronic stress and negative health outcomes due to chronic stress

A

exhaustion

of GAS

18
Q

what phase of GAS is associated with “fight or flight”

A

alarm

19
Q

uncompensated respiratory acidosis:
pH:
PCO2:
HCO3:

A

pH: low
PCO2: high
HCO3: slightly high

20
Q

compensated respiratory acidosis:
pH:
PCO2:
HCO3:

A

pH: low, moving toward baseline
PCO2: high
HCO3: very high due to compensatory production of acidic urine

21
Q

uncompensated metabolic acidosis
pH:
PCO2:
HCO3:

A

pH: low
PCO2: normal
HCO3: low

22
Q

compensated metabolic acidosis
pH:
PCO2:
HCO3:

A

pH: slightly low, moving toward baseline
PCO2: decreased due to compensatory hyperventilation
HCO3: very low; decreased more due to decrease PCO2

23
Q

uncompensated respiratory alkalosis:
pH:
PCO2:
HCO3:

A

pH: high
PCO2: low
HCO3: slightly low

24
Q

compensated respiratory alkalosis:
pH:
PCO2:
HCO3:

A

pH: slightly high, moving toward baseline
PCO2: low
HCO3: very low due to compensatory alkalotic urine production

25
Q

uncompensated metabolic alkalosis:
pH:
PCO2:
HCO3:

A

pH: high
PCO2: normal
HCO3: increased

26
Q

compensated metabolic alkalosis
pH:
PCO2:
HCO3:

A

pH: slightly high, moving toward baseline
PCO2: high due to compensatory hypoventilation
HCO3: very high due to increased PCO2

27
Q

identify mixed respiratory alkalosis and metabolic alkalosis

A

point 3

28
Q

identify compensated respiratory acidosis

A

point 1

29
Q

identify non compensated respiratory alkalosis

A

point 4

30
Q

identify compensated respiratory alkalosis

A

point 7

31
Q

short term hypoventilation can cause

A

respiratory acidosis

32
Q

long term hypoventilation, as in COPD can cause

A

compensated respiratory acidosis

33
Q

short term hyperventilation due to anxiety/drugs can cause

A

respiratory alkalosis

34
Q

chronic hyperventilation, such as weeks at a high altitude can cause

A

compensated respiratory alkalosis

35
Q

uncompensated DM and increased lactic acid production due to shock can cause

A

metabolic acidosis

36
Q

identify non compensated metabolic acidosis

A

point 8

37
Q

identify metabolic acidosis with respiratory compensation

A

point 2

38
Q

acid loss through vomiting can cause

A

metabolic alkalosis

39
Q

peripheral chemoreceptors respond to a

A

decrease in PO2

40
Q

compensation for metabolic alkalosis is

A

hypoventilation

41
Q

compensation for metabolic acidosis is

A

hyperventilation