Acid-Base balance Flashcards

1
Q

The expected blood gas results for a patient in chronic renal failure would match the pattern of?

A

metabolic acidosis

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2
Q

severe diarrhea causes

A

metabolic acidosis

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3
Q

what is metabolic acidosis

A

a condition in which too much acid accumulates in the body

causes- buildup of body toxins, kidney failure, ingestion of certain drugs or toxins. rare complication to diabetes

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4
Q

Factors that contribute to a PCO2 electrode requiring 60-120 seconds to reach equilibrium include

A

diffusion characteristics of the membrane

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5
Q

an emphysema patient suffering from fluid accumulation in the alveolar spaces is likely to be in what metabolic state?

A

respiratory acidosis

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6
Q

What is emphysema?

A

A condition in which the air sacs of the lungs are damaged and enlarged causing breathlesesness

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7
Q

define alveoli

A

tiny air save at the end of the bronchioles. Where the lungs and blood exchange oxygen and carbon dioxide during the process of breathing in/out

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8
Q

At blood pH 7.4, what is the ratio of bicarbonate to carbonic acid?

A

20:1 (normal ratio)

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9
Q

The reference range for the pH of arterial blood measured at 37degress celsius is

A

7.35-7.45

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10
Q

A 68 yr old man arrives in the er with a glucose level of 722mg/dL and serum acetone of 4+ undiluted. An arterial blood gas from this patient is likely to be:

A

low pH

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11
Q

A patient is admitted to the emergency room in a state of metabolic alkalosis. What would be consistent with this diagnosis?

A

high TCO2, increased HCO3

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12
Q

A person suspected of having metabolic alkalosis would have what lab results?

A

CO2 content and pH elevated

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13
Q

Metabolic acidosis is described as a(n)?

A

decrease in CO2 content and PCO2 with a decreased pH

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14
Q

Respiratory acidosis is described as

A

increase in CO2 content and PCO2 with a decreased pH

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15
Q

A common cause of respiartory alkalosis is:

A

hyperventalation

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16
Q

Acidosis and alkalosis are best defined as fluctuations in blood pH and CO2 content due to changes in

A

bicarbonate buffer

17
Q

A blood gas sample was sent to the lab on ice, and a bubble was present in the syringe. The blood has been exposed to room air for at least 30 min- what changes should we expect

A

PO2 increased and HCO3 decreased

18
Q

What test evaluates renal tubular function

A

osmolarity

19
Q

The degree to which the kidney concentrates the glomerular filtrate can be determined by

A

urine to serum osmolality ratio

20
Q

Osmolal gap is the difference between

A

calculated and measured osmolality values