Chapter 8: Acid-Base balance Flashcards

1
Q

normal pH

A

7.35-7.45

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2
Q

normal Paco2

A

35-45 mm Hg

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3
Q

normal Po2

A

90-100 m Hg

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4
Q

normal HCO3

A

22-26 meq/L

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5
Q

normal SaO2

A

95-100%

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6
Q

normal anion gap

A

6-12 meq/L

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7
Q

more H inons _______ pH?

A

lower (acidic)

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8
Q

buffer

A

prevent changes and maintain normal pH

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9
Q

Protein Buffering system

A

amino and carboxyl groups found on amino acids enable proteins to absorb or donate H ions as needed to maintain pH; hemoglobin

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10
Q

Phosphate Buffering system

A

regulate pH in intracellular enviroment; phosphate can take acidic form or basic form

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11
Q

when CO2 combines with water _____ is formed?

A

carbonic acid

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12
Q

when CO2 levels increase , equation moves to the right and forms more _______ ?

A

H and HCO3

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13
Q

when H increases, equation moves to the left, forming more _________?

A

CO2

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14
Q

ratio of bicard to carbonic acid

A

20:1

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15
Q

What excretes from the lungs?

A

CO2

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16
Q

what excretes from the kidneys?

A

Hydrogen

17
Q

When does the lungs respond?

A

within minutes

18
Q

When does the kidneys respond?

A

hours to a day but can be maintained longer

19
Q

anion gap

A

concentration of the unmeasured anions in the bloodstream

20
Q

hypokalemia may cause _______

A

alkalosis

21
Q

hyperkalemia may cause _______

A

acidosis

22
Q

Respiratory Acidosis

A

body accumulates too much CO2 and cannot exhale it sufficiently, leads to hypercapnia; ex: hypoventilation

23
Q

hypercapnia

A

elevation in CO2

24
Q

Respiratory Alkalosis

A

occurs when CO2 levels in blood is too low; due to hyperventilation

25
Q

Metabolic Acidosis

A

excess of acid not related to CO2; CO2 not driving reduction in pH

26
Q

Metabolic Alkalosis

A

blood pH less than 7.45 with normal CO2 level