Unit 4 - Class Acitivites Flashcards
Acid/Base imbalances cause by the pulmonary system are characterized by an excess or deficiency of:
a. Base Bicarbonate (HCO3)
b. Carbon Dioxide (CO2)
c. Serum pH
d. ketone bodies
b. Carbon Dioxide (CO2)
Mrs. Right has the following values: pH 7.48, pCO2 40, HCO3 30. These values are consistent with
a. metabolic alkalosis - with compensation
b. metabolic alkalosis - uncompensated
c. metabolic acidosis - with partial compensation
d. metabolic acidosis - uncompensated
b. metabolic alkalosis - uncompensated
Is respiratory acidosis acute or chronic?
It can be either one!
ROME
respiratory = opposite - pH is high, PCO2 is down (alkalosis) - pH is low, PCO2 is up (acidosis) metabolic = equal - pH is high, HCO3 is high (alkalosis) - pH is low, HCO3 is low (acidosis)
Match acid-base status with disorder:
pH 7.5
PaCO2 50
HCO3 35
metabolic alkalosis compensated
Match acid-base status with disorder:
pH 7.6
PaCO2 18
HCO3 20
respiratory alkalosis compensated
Match acid-base status with disorder:
pH 7.2
PaCO2 60
HCO3 22
respiratory acidosis uncompensated
Match acid-base status with disorder:
pH 7.54
PaCO2 30
HCO3 23
respiratory alkalosis uncompensated
Match acid-base status with disorder:
pH 7.25
PaCO2 40
HCO3 16
metabolic acidosis uncompensated
The client’s arterial blood gas report reveals a pH of 6.58. How does the nurse evaluate this value?
A.There is a slight elevation.
B.This value is incompatible with life.
C.This is a low normal value.
D.This value is extremely elevated.
B.This value is incompatible with life.
Normal Na lab value
135-145
Normal K+ lab value
3.5 - 5.3 mEq/L
What can cause H+ concentration to increase? Select all that apply A.Accumulation of acids B. Increase of Bases C.Loss of Bases D.Deep Fast breathing
A.Accumulation of acids
C.Loss of Bases
Isaac, 63 years old, was admitted to the hospital with confusion, rapid respirations and signs of dehydration. His arterial blood gas values are pH 7.32, HCO3 19 mEq/L, PaCO2 40. These values are consistent with
A. metabolic acidosis with partial compensation.
B. metabolic acidosis - uncompensated.
C. respiratory acidosis with partial compensation.
D. respiratory acidosis - compensated.
B. metabolic acidosis - uncompensated.
According to the arterial blood gas results, a highly anxious patient is experiencing respiratory alkalosis. What is the most likely cause of this acid-base imbalance? A. chronic lung disease B. intubation C. hyperventilation D. drug therapy
C. hyperventilation