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Mark Klimek- Yellow Book at Columbus State Community College - StudyBlue

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Ohio | Columbus State Community College | Mark Klimek- Yellow Book Alexandria • M. 543 cards Rule of the B's: If the and the are in the same direction then it is meta pH 7.30 HCO3 20 pH 7.58 HCO3 32 pH 7.22 HCO3 30 MacKussmaul The onl...

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  • February 24, 2022
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  • 2021/2022
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Ohio | Columbus State Community Alexandria • cards
College | Mark Klimek- Yellow Book M. 543




Rule of the B's: If the
and the are in
the same direction then it
is meta
pH, Bicarb, Both, Bolic




pH 7.30 HCO3
20
↓= acidosis; ↓= metabolic




pH 7.58 HCO3
32
↑= alkalosis; ↑= metabolic




pH 7.22 HCO3
30
↓= acidosis; ↑= respiratory




MacKussmaul

,The only acid base to cause
Kussmaul respirations is
Metabolic ACidosis




Compensation only
the pH


Changes




pH 7.42 HCO3 19


↑= compensated alkalosis ↓=
respiratory




pH 7.43 HCO3 34


↑= compensated alkalosis ↑=
metabolic




pH 7.39 HCO3 25
CO2 61

Norm., norm., ↑ = CO2
problem not acid-base
problem




As the goes, so
goes except for

,pH, my patient, Potassium




pH is Up
Alkalosis, Hypokalemia, HTN,
Tachycardia, Tachypnea,
Seizures, Irritability, Spastic,
Diarrhea, Borborygme,
Hyperreflexia, etc

Tachy, hyper, elevated,
irritable, peaking, increase,
spastic, rise




pH is Down
Acidosis, Hyperkalemia, htn,
Bradycardia, Constipation,
Absent bowel sounds, Flacid,
Bradypnea

Brady, hypo, lethargic,
decrease, few, scant,
suppressed




Causes of acid-base
imbalances: First ask
yourself, "Is it ?" If
yes, then it's .
Then ask yourself: "Are they
or ?" If
, pick . If
, pick
lung, respiratory,
overventilating,
underventilating,

, overventilating, alkalosis,
underventilating, acidosis

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