acid-base Flashcards
(18 cards)
what can cause respiratory acidosis
CHAMPP
CNS depression
Hemo/pneumothorax
Airway obstruction
Myopathy
Pneumonia
Pulmonary edema
CHAMPP
CNS depression
Hemo/pneumothorax
Airway obstruction
Myopathy
Pneumonia
Pulmonary edema
High CO2
Low pH
Respiratory acidosis
what can cause respiratory alkalosis?
CHAMPS
CNS disease
Hypoxia
Anxiety
Mechanical ventilation
Progesterone
Salicylates + Sepsis
Low CO2
High pH
respiratory alkalosis
Altered sensorium, HOTN, arrhythmias, hyperkalemia, insulin resistance
metabolic acidosis
What can cause metabolic acidsois
Alcohol disorder, sepsis, diarrhea, kidney disease
NAGMA
Normal anion gap = HARDUP
Hyperalimentation (TPN), hyperchloremia
Acetazolamide
Renal tubular acidosis
Diarrhea
Ureteral diversion
Pancreatic fistula
WAGMA
WIDE anion gap = MUDPILES
Methanol
Uremia
Diabetic ketoacidosis
Propylene glycerol
Isoniazid
Lactic acidosis
Ethylene glycol
Salicylate toxicity
how do you calculate the anion gap?
Calculate anion gap → Na - (Cl + HCO3) ~ 10-14 +/- 2
Low pH
Low bicarb
metabolic acidosis
Altered sensorium, seizures, coma, arrhythmias, hypokalemia, hypocalcemia
metabolic alkalosis
what can cause metabolic alkalosis
VOMIT
Vomiting/NG suction
Overcorrection of hypercapnia
Mineralocorticoid access
Iatrogenic
Total volume loss
High pH
High bicarb
metabolic alkalosis
acute respiratory acidosis has a response of
1 HCO3 increase / 10 CO2
chronic respiratory acidosis has a response of
3-4 HCO3 increase/ 10 CO2
Acute respiratory alkalosis response
2 HCO3 decrease/10 CO2
chronic respiratory alkalosis response
5 HCO3 decrease / 10 CO2