Acid/Base Flashcards

1
Q

ph of blood

A

7.35-7.45

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2
Q

ph lower than 7.35

A

acidotic

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3
Q

ph greater than 7.45

A

alkatlotic

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4
Q

buffers (chemical and proteins)

A

immediate response to change of ph, 1st line of defense, bind and release to H+ ions

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5
Q

respiratory (lungs)

A

response in minutes, controls H+ concentration by controlling CO2

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6
Q

hyperventilation

A

blow off, increase respirations, lower CO2

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7
Q

hypoventilation

A

retain, lower respirations, increase CO2

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8
Q

renal (metabolic)

A

response in 2-3 days, most effective, controls bicarbonate

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9
Q

pH normal range

A

7.35-7.45

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10
Q

PaCO2 normal range

A

35-45

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11
Q

HCO3 normal range

A

22-26

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12
Q

PaO2 normal range

A

80-100

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13
Q

increase pH caused by…

A

low CO2 or high bicarbonate

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14
Q

decrease pH caused by…

A

increase CO2 or low bicarbonate

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15
Q

ROME

A

respiratory opposite, metabolic equal

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16
Q

respiratory acidosis

A

ph lower than 7.35 and co2 greater than 45

17
Q

what causes respiratory acidosis

A

respiratory depression, inadequate chest expansion, airway obstruction, alveolar-capillary blockage

18
Q

respiratory alkalosis

A

ph greater than 7.45 and co2 lower than 35

19
Q

what causes respiratory alkalosis

A

acute pulmonary disorders, anxiety, exercise, brain injury

20
Q

metabolic acidosis

A

ph less than 7.35, co2 normal, bicarbonate less than 22

21
Q

what causes metabolic acidosis

A

starvation, severe diarrhea, diabetic ketoacidosis, shock, cardiac arrest

22
Q

metabolic alkalosis

A

ph greater than 7.45, co2 normal, bicarbonate greater than 26

23
Q

what causes metabolic alkalosis

A

excess gastric suctioning, hypokalemia

24
Q

treatment for respiratory acidosis

A

bronchodilator, supplemental oxygen, meds for hyperkalemia, remove secretion from lungs

25
Q

treatment for respiratory alkalosis

A

discontinue and removal of causative agent, eliminate sepsis, oxygen therapy, slow, deep breathing

26
Q

treatment for metabolic acidosis

A

bicarbonate IV, insulin, antidiarrheal

27
Q

treatment for metabolic alkalosis

A

discontinue gastric suctioning, thiazide diuretics