Review one- ACID/BASE Flashcards

1
Q

Rule of B’s

A
Respiratory
Opposite
Metabolic
Equal
If the ph and the bicarb are in the same direction its metabolic- BICARB, BOTH, BOLIC
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2
Q

Normal ph

A

7.35-7.45

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3
Q

Normal Bicarb

A

22-26

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4
Q

Normal Co2

A

35-45

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5
Q

as the ___ goes so goes my pt (except for k+)

A

ph

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6
Q

ph up, pt __ , K+ ___

A

ph up, pt up/excitable, K+ down

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7
Q

ph down, pt ___, k+ __

A

ph down, pt down, k+ up

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8
Q

s/s of an alkalotic pt

A

EVERYTHING UP

  • tachycardia
  • tachypnea
  • hyperreflexia +3/+4
  • borborygmi
  • seizures
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9
Q

s/s of an acidotic pt

A

EVERYTHING DOWN

  • bradycardia
  • paralytic ileus
  • obtundant
  • hyporeflexia +1
  • coma
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10
Q

alkalosis pts are at risk for ___ & should have ___ at the bedside

A

seizures/aspiration, suction

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11
Q

acidotic pts are at risk for ___ & should have ___ at the bedside

A

coma/resp arrest, ambu bag

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12
Q

mac kussmaul

A

metabolic acidosis; kussmaul resp

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13
Q

obtundent is decreased

A

reflexes

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14
Q

in a heartblock the heart is being ___

A

SLOWED

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15
Q

diarrhea causes ___ then shuts the bowel down resulting in a ______

A

metabolic acidosis, paralytic illeus

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16
Q

overventilation results in

A

alkalosis; blowing out all the co2

17
Q

underventilation results in

A

acidosis; retaining all co2

18
Q

vomiting/suction causes

A

metabolic alkalosis

19
Q

diarrhea causes

A

metabolic acidosis

20
Q

high pressure alarms on ventilators usually go off due to

A

obstruction

  • assess for kinks
  • assess for water condensation/chng water
  • mucous secretions in airway; turn cough deep breath/suction
21
Q

low pressure alarms on ventilators usually go off due to

A

disconnection

  • disconnection of main tubing/plug back in
  • o2 sensor tubing disconnect; senses fio2