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
What type of condition is DKA
metabolic acidosis condition
What buffers Lactic Acid during normal exercise? •A. CO2 •B. Gatorade •C. Bicarbonate •D. H2O
•C. Bicarbonate
Common cause of respiratory Alkalosis: A.Intense exercise B.Chronic Kidney problems C.Ingestion of large amounts of water D.Hyperventilation
D.Hyperventilation
high PCO2 (respiratory acidosis)indicates:
A.Hypoventilation
B.Hyperventilation
A.Hypoventilation
A client is brought to the emergency department after passing out in a local department store. The client reports dieting by fasting for the last 5 days. Which acid–base imbalance would the nurse expect to assess in this client?
A.Respiratory acidosis
B.Respiratory alkalosis
C.Metabolic acidosis
D.Metabolic alkalosis
C.Metabolic acidosis
A client is admitted to the hospital after vomiting for 3 days. Which arterial blood gas results would the nurse expect to find in this client? A.pH 7.30; PaCO2 50; HCO3 27 B.pH 7.47; PaCO2 43; HCO3 28 C.pH 7.43; PaCO2 50; HCO3 28 D.pH 7.47; PaCO2 30; HCO3 23
B.pH 7.47; PaCO2 43; HCO3 28
The nurse has admitted a client who was brought to the hospital after a narcotic overdose. What acid–base imbalance does the nurse expect to observe in this client?
A.Respiratory acidosis
B.Respiratory alkalosis
C.Metabolic acidosis
D.Metabolic alkalosis
A.Respiratory acidosis
In a man undergoing surgery, it was necessary to aspirate the contents of the upper gastro-intestinal tract. After surgery, the following values were obtained from an arterial blood sample: pH 7.55, PCO2 52 mm Hg and HCO3- 40 mmol/l. What is the underlying disorder?
A.Respiratory acidosis
B.Respiratory alkalosis
C.Metabolic acidosis
D.Metabolic alkalosis
D.Metabolic alkalosis
A person was admitted to hospital in a coma. Analysis of the arterial blood gave the following values: PCO2 16 mm Hg, HCO3- 5 mmol/l and pH 7.1. What is the underlying acid-base disorder?
A.Respiratory acidosis
B.Respiratory alkalosis
C.Metabolic acidosis
D.Metabolic alkalosis
C.Metabolic acidosis
A climber attempts an assault on a high mountain in the Andes and reaches an altitude of 5000 meters (16,400 ft) above sea level. What will happen to his arterial PCO2 and pH?
A.Both will be lower than normal
B.The Ph will rise and PCO2 will fall
C.Both will be higher than normal due to the Physical exertion
D.The pH will fall and the PCO2 will rise
B.The Ph will rise and PCP2 will fall
Ph 7.31 Co2 50mmHg, HCO3: 22mEq/L
A.Respiratory acidosis/ Uncompensated
B.Respiratory Alkalosis/ Partially compensated
C.Metabolic acidosis/ Fully compensated
D.Metabolic Alkalosis/ Uncompensated
A.Respiratory acidosis/ Uncompensated
When pH is normal, both HCO3 and CO2 are abnormal. It is
A.Uncompensated
B.Partially compensated
C.Fully compensated
D.Corrected
C.Fully compensated
When there is an abnormal pH and change in one blood parameter . It is : A.Uncompensated B.Partially compensated C.Fully compensated D.Corrected
A.Uncompensated
A nursing student is extremely excited they scored a 100% on the acid-base balance exam / What imbalance would they be at risk for: A.Respiratory acidosis B.Respiratory alkalosis C.Metabolic acidosis D.Metabolic alkalosis
B.Respiratory alkalosis
