Review one- ACID/BASE Flashcards
Rule of B’s
Respiratory Opposite Metabolic Equal If the ph and the bicarb are in the same direction its metabolic- BICARB, BOTH, BOLIC
Normal ph
7.35-7.45
Normal Bicarb
22-26
Normal Co2
35-45
as the ___ goes so goes my pt (except for k+)
ph
ph up, pt __ , K+ ___
ph up, pt up/excitable, K+ down
ph down, pt ___, k+ __
ph down, pt down, k+ up
s/s of an alkalotic pt
EVERYTHING UP
- tachycardia
- tachypnea
- hyperreflexia +3/+4
- borborygmi
- seizures
s/s of an acidotic pt
EVERYTHING DOWN
- bradycardia
- paralytic ileus
- obtundant
- hyporeflexia +1
- coma
alkalosis pts are at risk for ___ & should have ___ at the bedside
seizures/aspiration, suction
acidotic pts are at risk for ___ & should have ___ at the bedside
coma/resp arrest, ambu bag
mac kussmaul
metabolic acidosis; kussmaul resp
obtundent is decreased
reflexes
in a heartblock the heart is being ___
SLOWED
diarrhea causes ___ then shuts the bowel down resulting in a ______
metabolic acidosis, paralytic illeus
overventilation results in
alkalosis; blowing out all the co2
underventilation results in
acidosis; retaining all co2
vomiting/suction causes
metabolic alkalosis
diarrhea causes
metabolic acidosis
high pressure alarms on ventilators usually go off due to
obstruction
- assess for kinks
- assess for water condensation/chng water
- mucous secretions in airway; turn cough deep breath/suction
low pressure alarms on ventilators usually go off due to
disconnection
- disconnection of main tubing/plug back in
- o2 sensor tubing disconnect; senses fio2
