blood gases - acid base balance Flashcards

1
Q

what is the pontine respiratory group?

A

part of respiratory centre that regulates length of each breath and switches between inspiration and expiration

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2
Q

what does the dorsal respiratory group do?

A

initiates inspiration and regulates basic rhythm of respiration

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3
Q

what is the ventral respiratory group involved in?

A

control of forced expiration - coordinates muscles involved

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4
Q

what do we breathe in response to?

A

high CO2 levels

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5
Q

main points of hydrogen metabolism?

A
  • produced from normal metabolic processes
  • consumed by metabolism of intermediates and excreted by kidneys in urine
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6
Q

in the body what is the buffering system to manage hydrogen ions?

A

H+ + HCO3- <———> H2CO3

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7
Q

why does bicarbonate have to dissociate to enter renal tubule?

A

tubule impermeable to bicarbonate so has to enter as CO2 and associate again

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8
Q

what is acidosis and alkalosis?

A

acidosis - high [H+], low pH
alkalosis - low [H+], high pH

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9
Q

characteristics of non-respiratory acidosis?

A

increased [H+]
decreased excretion
decreased [HCO3-]

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10
Q

how to treat non-respiratory acidosis?

A
  • removal of underlying problem while maintaining renal function
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11
Q

what causes non-respiratory alkalosis?

A
  • excess alkali administration
  • loss of free hydrogen
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12
Q

characteristics of non-respiratory alkalosis?

A

self limiting rise in pressure of CO2
decreased [H+]
increased [HCO3-]

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13
Q

how to treat non-respiratory alkalosis?

A

correction of volume depletion with normal saline infusion
potassium supplements

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14
Q

causes of respiratpry acidosis?

A

airway obstruction
depression of respiratory centre

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15
Q

characteristics of respiratory acidosis?

A

increased [H+]
slight increase [HCO3-]
CO2 retention

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16
Q

how to treat respiratory acidosis?

A

oxygen is prime issue
- high conc. oxygen
- ventilation

17
Q

causes of respiratory alkalosis?

A

hypoxia (low oxygen)
increased drive

18
Q

characteristics of respiratory alkalosis?

A

increased [H+]
decreased pCO2
decreased [HCO3-]

19
Q

how to treat respiratory alkalosis?

A

remove underlying cause
in hyperventilation - rebreathing CO2 (brown bag approach)