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1 Mark K_ Acid_Base Balance PRAO) QUESTIONS WITH 100- CORRECT!!_.pdf
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8/13/24, 6:09 AM1 Mark K: Acid/Base Balance
Jeremiah
Terms in this set (13)
The first value to look at in an acid-base pH - acidic or alkalotic
disorder
Determine if the imbalance is metabolic or respiratory: determine whether HCO3 goes
Second step in looking at an acid-base in the same or opposite direction with pH.
disorder Rule of the Bs: If pH and Bicarb move both in the same direction, then the acid-base
imbalance is metabolic. Otherwise, it is respiratory.
As the pH goes, so goes my patient, except for Potassium. that means:
How can you remember symptoms for acid
If pH is low, everything is low, except potassium.
bace imbalances?
If pH is high, everything is high, except potassium.
Therefore everything is up:
Tachycardia.
Tachypnea.
HTN.
Seizures.
If pH goes over 7.45, this is alkalosis Irritability.
Spastic.
Diarrhea.
Borborygmi (increase bowel sounds).
Hyperreflexia (3+, 4+).
However, potassium is opposite = hypokalemia.
Nursing intervention for alkalosis Pt need suctioning because of seizures
Therefore, everything is down:
Bradycardia.
Constipation.
Absent bowel sounds.
Flaccid.
Obtunded.
If pH goes below 7.35, this is acidosis
Lethargy.
Coma.
Hyporeflexia (0, 1+).
Bradypnea.
1 Mark K: Acid/Base Balance
Nursing intervention for acidosis Pt needs to be ventilated with an Ambu bag—respiratory arrest
"MAC Kussmaul” is the only acid-base imbalance to cause Metabolic ACidosis with
What is a classic sign of metabolic acidosis?
Kussmaul respirations
Low BP.
However, potassium is high = hyperkalemia.
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