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N450 Lab Quiz 2 SG (1).

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N450 Lab Quiz 2 SG (1).

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  • July 26, 2024
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  • 2023/2024
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N450 Lab Quiz 2 SG
How is acid base status of the body regulated? - ANS-Buffers

Resp system (PaCO2)

Renal system (HCO3-)

What are buffers? - ANS-weak acids or bases that can react with strong acids or bases to
prevent sharp, sudden changes in pH

What is the pH buffer formula? - ANS-H+ + HCO3- <-> H2CO3 <-> CO2 + H2O

What do kidneys regulate? - ANS-bicarbonate

What do lungs regulate? - ANS-carbon dioxide

What is the normal pH level of the body? - ANS-7.35-7.45

Respiratory contribution to pH balance? What measures respiratory regulation? -
ANS-Chemoreceptors sense pH and PaCO2

High carbonic acid level: rate and depth of respirations increase

Low carbonic acid: rate and depth of respirations decrease

PaCO2 regulates respiratory regulation

Renal contribution to pH balance? What measures renal regulation? - ANS-Kidneys can excrete
acid

Increase carbonic acid, kidneys excrete metabolic acids

HCO3 measures renal regulation

What happens to K in acidosis and alkalosis? - ANS-In acidosis, H+ moves into the cell to buffer
and K+ leaves cell, causing hyper K

In alkalosis, K+ is going into the cell, causing alkalosis

What happens if you are hyper K+? - ANS-more K is secreted and excreted in into the urine,
leaving more h+ which leads to acidosis

, vice versa with hypo k

Venous CO2 vs PaCO2? - ANS-venous is indirect measure, 2 mEq more

Why take arterial blood in an ABG? - ANS-determine acid base balance

determine oxygen status

helps determine CO

What is the normal PaCO2? - ANS-35-45 mmHg

What is the normal HCO3? - ANS-24-28 mEq

What is the normal base excess? - ANS--2 to +2

What is the normal PaO2? - ANS-80-100 mmHg

What is the normal SaO2? - ANS-95-100%

What is pulse oximetry? - ANS-noninvasive measurement of peripheral arterial hemoglobin O2
saturation

What is a capnography? - ANS-noninvasive measurement of end tidal CO2, arterial CO2

What is carbon dioxide and bicarbonate? - ANS-CO2 is respiratory, more is acidotic

Bicarb is metabolic, less is acidotic

What are the symptoms of acidemia? - ANS-Decreased BP
Tachy
HA
Confusion
Asterixis
Coma

What is the CO2 range for acidosis --> alkalosis? - ANS-60 to 40 to 20

What is the HCO3 range for acidosis --> alkalosis? - ANS-18-24-30

What is is compensation? Example? - ANS-a secondary response to reverse abnormal trends

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