ACID BASE BALANCE Flashcards

1
Q

The concentration of H in a shttps://www.brainscape.com/libraryolution

A

pH

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2
Q

Chemically NEUTRAL solution has a pH of __

A

7.0

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3
Q

Normal body pH

A

7.35 - 7.45

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4
Q

A pH __ is considered life threatening

A

7.55

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5
Q

A pH above __ is usually fatal

A

> 7.8 (alkalosis)

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6
Q

A pH below __ is usually fatal

A

> 6.8 (acidosis)

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7
Q

pH 7.4 indicates a ratio of _______

A

1 part CARBONIC ACID: 2 parts BICARBONATE (base)

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8
Q

The result of either a LOSS OF BASE, or an ACCUMULATION OF ACID

A

acidosis

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9
Q

The result of either a LOSS OF ACID, or an ACCUMULATION OF BASE

A

alkalosis

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10
Q

3 Mechanisms that balance pH

A
  1. Buffer systems (main: bicarbonate)
  2. Respiratory system (kidneys)
  3. Renal system (lungs)
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11
Q

pH: Normal Range

A

7.35 - 7.45

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12
Q

PCO2: Normal Range

A

35 - 45

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13
Q

HCO3: Normal Range

A

22 - 26

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14
Q

4 Buffer Systems

A
  1. bicarbonate
  2. phospate
  3. Hb
  4. protein
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15
Q

The (kidneys/lungs) are slow to compensate, but are the most effective compensating mechanism.

A

kidneys

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16
Q

4 Acid Base Imbalances

A
  1. Respiratory Acidosis
  2. Respiratory Alkalosis
  3. Metabolic Acidosis
  4. Respiratory Aklalosis
17
Q

Causes of Respiratory Acidosis

A
  1. Slow, shallow respirations

2. Respiratory congestion/obstruction

18
Q

Causes of Metabolic Acidosis

A
  1. Shock
  2. Diabetic ketoacidosis
  3. Renal failure
  4. Diarrhea
19
Q

Causes of Respiratory Alkalosis

A

Hyperventilation

20
Q

Causes of Respiratory Alkalosis

A
  1. Vomiting
  2. Excessive antacid intake
  3. Hypokalemia
21
Q

PaO2: Normal Value

A

80 - 100 mmHg

22
Q

PaCO2: Normal Value

A

35 - 45 mmHg

23
Q

SaO2 (also, “O2 Sat”): Normal Value

A

94% - 100%

24
Q

SaO2 is the percentage (%) of available __ that is saturated (Sa) with oxygen (O2)

A

Hb

25
Q

ABG Analysis: ___ is an indicator of the Metabolic Acid-Base Status

A

HCO3- (bicarbonate)

26
Q

pH 45

HCO3 = Normal (22-26)

A

Respiratory Acidosis

27
Q

pH

A

Metabolic Acidosis

28
Q

Signs of Ketoacidosis

A
  1. Vomiting, diarrhea
  2. Deep, rapid breathing (Kussmaul’s)
  3. May secrete urine with low pH
29
Q

pH > 7.45

PaCO2

A

Respiratory Alkalosis

30
Q

pH > 7.45
PaCO2 = Normal (35 - 45)
HCO3 > 26

A

Metabolic Alkalosis