acid-base Flashcards

(18 cards)

1
Q

what can cause respiratory acidosis

A

CHAMPP
CNS depression
Hemo/pneumothorax
Airway obstruction
Myopathy
Pneumonia
Pulmonary edema

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2
Q

CHAMPP

A

CNS depression
Hemo/pneumothorax
Airway obstruction
Myopathy
Pneumonia
Pulmonary edema

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3
Q

High CO2
Low pH

A

Respiratory acidosis

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4
Q

what can cause respiratory alkalosis?

A

CHAMPS
CNS disease
Hypoxia
Anxiety
Mechanical ventilation
Progesterone
Salicylates + Sepsis

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5
Q

Low CO2
High pH

A

respiratory alkalosis

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6
Q

Altered sensorium, HOTN, arrhythmias, hyperkalemia, insulin resistance

A

metabolic acidosis

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7
Q

What can cause metabolic acidsois

A

Alcohol disorder, sepsis, diarrhea, kidney disease

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8
Q

NAGMA

A

Normal anion gap = HARDUP
Hyperalimentation (TPN), hyperchloremia
Acetazolamide
Renal tubular acidosis
Diarrhea
Ureteral diversion
Pancreatic fistula

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9
Q

WAGMA

A

WIDE anion gap = MUDPILES
Methanol
Uremia
Diabetic ketoacidosis
Propylene glycerol
Isoniazid
Lactic acidosis
Ethylene glycol
Salicylate toxicity

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10
Q

how do you calculate the anion gap?

A

Calculate anion gap → Na - (Cl + HCO3) ~ 10-14 +/- 2

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11
Q

Low pH
Low bicarb

A

metabolic acidosis

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12
Q

Altered sensorium, seizures, coma, arrhythmias, hypokalemia, hypocalcemia

A

metabolic alkalosis

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13
Q

what can cause metabolic alkalosis

A

VOMIT
Vomiting/NG suction
Overcorrection of hypercapnia
Mineralocorticoid access
Iatrogenic
Total volume loss

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14
Q

High pH
High bicarb

A

metabolic alkalosis

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15
Q

acute respiratory acidosis has a response of

A

1 HCO3 increase / 10 CO2

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16
Q

chronic respiratory acidosis has a response of

A

3-4 HCO3 increase/ 10 CO2

17
Q

Acute respiratory alkalosis response

A

2 HCO3 decrease/10 CO2

18
Q

chronic respiratory alkalosis response

A

5 HCO3 decrease / 10 CO2