Mark Klimek - Acid/Base Imbalance

Question 1

Saying for pH imbalance

Answer 1

As the pH goes ___ so does my patient

Question 2

When the pH goes up…

Answer 2

The systems in the body get irritable, hyper-excitable, borborygmi

Question 3

When the pH goes down…

Answer 3

Body systems shut down

Question 4

The only exception to the rule is…

Answer 4

-Potassium

Question 5

As the pH goes up, the potassium goes…

Answer 5

Down

Question 6

As the pH goes down, the potassium goes…

Answer 6

Up

Question 7

When do you see Kussmauls resps?

Answer 7

• metabolic acidosis (MacKussmaul)

Question 8

What do you ask yourself to determine the cause?

Answer 8

• is it lung?
• if yes, it’s respiratory
• if no, it’s metabolic

Question 9

If it is lung, what else do you ask yourself?

Answer 9

Is the pt under or over ventilating?

Question 10

If the pt is over ventilating…

Answer 10

Respiratory alkolosis

Question 11

If the pt is under ventilating…

Answer 11

Respiratory acidosis

Question 12

What is the ONE scenario for metabolic alkolosis?

Answer 12

if pt has prolonged vomiting or suctioning

Question 13

If the patient is not vomiting for being suctioned and it is NOT lung, pick…

Answer 13

metabolic acidosis

Question 14

If you are unsure what to pick and it is NOT lung, pick…

Answer 14

metabolic acidosis

Question 15

What is a normal pH?

Answer 15

7.35-7.45

Question 16

What is a normal bicarb?

Answer 16

22-26

Question 17

What if the pH and bicarb in the SAME direction?

Answer 17

it is metabolic

Question 18

What if the pH and bicarb are in DIFFERENT directions?

Answer 18

it is respiratory

Question 19

If the pH is low, is it acidosis or alkalosis?

Answer 19

acidosis

Question 20

If the pH is high, is it acidosis or alkalosis?

Answer 20

alkolisis

Question 21

T or F: ventilating and respirations are the same thing

Answer 21

FALSE

- ventilating is GAS EXCHANGE