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23 Cards in this Set

  • Front
  • Back
List the 3 regulators of acid base balance in order of their action.
1. chemical buffer systems- keeps pH relatively constant
2. respiratory control- makes changes quickly
3. renal control- takes a while (1-2 wks, but permanent adjustment)
what is the normal value of pH?
7.35-7.45
what is the normal value of pCO2?
35-45 mm Hg
what is the normal value of HCO3?
22- 26 mEq/L
____ reflects the respiratory component of acid-base?
pCO2
____ reflects the metabolic component of acid-base?
HCO3 - bicarbonate
alkalosis is an abnormal condidtion caused by excess____ or deficiency of ____?
bicarbonate/acid
acidosis is an abnormal increase in hydrogen ion concentration as a result of an accumulation of an ____ or loss of a ____?
acid/ base
s/s of resp. acidois-
decrease in ___ and increase in _____?
pH/ pCO 2
s/s of resp. alkalosis-
decrease in ___ and increase in _____?
pCO2 / pH
what are some ways you could lose bicarbonate?
diarrhea, draining wounds, renal failure, DKA, ASA OD, starvation, shock
what are some interventions for metabolic acidosis
sodium bicarbonate (temp fix), dialysis
what are some treatments for metabolic alkalosis?
Diamox- which will increase the excreation of bicarbonate from the kidney
pick increase or decease,
an acidotic state is considered to make pH?, CO2?, HCO3?
pH- decrease
CO2- increase
HCO3- decrease
pick increase or decease,
an alkalotic state is considered to make pH?, CO2?, HCO3?
pH- increase
CO2- decrease
HCO3- inecrease
explain pH compensation
pH is normal but pCO2 or HCO3 are out of balance
lungs will compensate if the primary imbalance is _____?
metabolic
kidneys will compensate if the primary imbalance is _____?
respiratory
pH 7.20
pCO2 56
HCO3 25
uncompensated resp acidosis
when interperting an ABG what values are you analzying?
your looking at the pH, pCO2, and the HCO3
pH 7.38
pCO2 49
HCO3 30
compensated resp acidosis
pH 7.68
pCO2 43
HCO3 35
uncompensated metab. alkalosis
pH 7.44
pCO2 33
HCO3 33
compensated resp. and metab. alkalosis