Blood Electrolytes & Gases Flashcards

1
Q

Osmolarity

A

285-295 mmol/kg h2O

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2
Q

Sodium (Na+)

A

136-145 mEq/L or mmol/L

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3
Q

Potassium (K+)

High alert medication, can cause cardiac arrest

A

3.5-5.0 mEq/L or mmol/L
largest intracellular electrolyte, for transmission of electrical impulses in nerves & muscles. Maintains resting membrane potential for muscle.
90% excreted by kidneys.

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4
Q

Chloride (Cl-)

A

98-106 mEq/L or mmol/L

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5
Q

Total CO2

A

22-30 mEq/L or mmol/L

CO2 is acidic

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6
Q

Bicarbonate (HCO3-)

A

Arterial 21-28 mEq/L or mmol/L
Venous 24-30 mEq/L or mmol/L

Alkaline

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7
Q

Total Calcium (Ca2+)

A

9-10.5 mg/dL or 2.25-2.62 mmol/L

Influences excitability of nerve and muscle cells, necessary for muscle contraction.

Most abundant mineral, 99% stored in bones & teeth. Need Vit D for gut absorption.

Regulated by parathyroid PTH

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8
Q

Ionized calcium (Ca2+)

A

4.5-5.6 mg-dL (1.05-1.3 mmol/L)
Unbound bioavailable form, usually 50% of total calcium

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9
Q

Magnesium (Mg2+)

High alert medication

A

1.3-2.1 mEq/L (0.65-1.05 mmol/L)
2nd most abundant intracellular electrolyte. Assists in regulation of nerve and muscle function. Cofactor for numerous enzymes.

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10
Q

Phosphate

A

3.0-4.5 mg/dL (0.97-1.45 mmol/L)

Necessary for production of ATP

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11
Q

Anion Gap

A

6+ / -4 mEq/L or mmol/L

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12
Q

pH

A

7.35-7.45

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13
Q

PaCO2

A

Level of CO2 in blood

35-45 mm Hg (4.7-6 kPa)

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14
Q

PaO2

A

80-100 mm Hg (10.7-13.3 kPa)

Level of oxygen in blood

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15
Q

O2 saturation

A

95%-100% (0.95-1.00)

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16
Q

Base excess

A

-2 to +2 mm EQ/L (mmol/L)

17
Q

Respiratory Acidosis

A

pH below 7.35
PaCO2 above 45
HCO3- normal

18
Q

Respiratory Alkalosis

A

pH above 7.45
PaCO2 below 35
HCO3- normal

19
Q

Metabolic Acidosis

A

pH below 7.35
PaCO2 normal

20
Q

Metabolic Alkalosis

A

pH above 7.45
PaCO2 normal

21
Q

High potassium foods

A

Baked potatoes
Prune juice
Carrot juice
white beans
yogurt
sweet potato
salmon
banana
spinach
avocado

22
Q

High magnesium foods

A

cooked spinach
pumpkin seeds
black beans
cooked soy beans
cashews
dark chocolate
avocados
tofu
salmon
banana

23
Q

Kidneys excrete

A

H+ (metabolic acids)
Kidneys excrete all acids except HCO3-. They secrete H+ in renal tubular fluid, putting HCO3- back into blood, or retain more HCO3-.

24
Q

Lungs excrete

A

CO2 + H2O carbonic acid HCO3-

25
Q

Isotonic Dextrose solution

A

5%

26
Q

Isotonic saline solution

A

0.9%

27
Q

Lactated Ringer (LR) solution

A

isotonic, contains Na+, K+, Ca2+, Cl-, and lactate which liver metabolizes to HCO3- (bicarb), expands ECV, does not enter cells.