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15 Cards in this Set

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Normal values
ph 7.35 to 7.45
co 35 to 45
hco 22 to 26
respiratory acidosis
an increae in hydrogen in concentration as a result of imparied elimination of co2.the ph is low and the co is high. HCO is normal.
respiratoy acidosis
compensatory mechanisms
Kidneys will reatin increae amounts of HCO3 to increase ph
Increae respiratory rate to eliminate CO2
Kidneys conserve HCO3 ions
Respiratoy acidosis
signs and symptoms
dyspnea
tachypnea
restlessness
confusion
diaphoresis
hypoventation
Respiratory alkalosis
decrease in hydrogen ion concentraton as a result of excess elimination of CO2
respiratory alaklosis
compensatroy mechanisms
Decrease respiratory rate to retain CO2
Kidneys eliminate bicarbonate buffers.
respiratoy alakalosis
signs and symptoms
anxiety
lightheadedness
tingling in fingers/toes
paresthesia
circumoral numbness
confusion
cardiac dysrhythmias
syncope
seizures
metabolic acidosis
decrease ph below 7.25
decreaed HCO3 below 22
Increased H+ ions
metabolic compensation
In respiratory acidosis the urinary system excretes increased H+ ions to compensate for the respiratroy system's inablity to blow off CO2.
Metabolic compensation
In resp. alkalosis the urinary system may decrease excretion of H+ ions to compensate adn maintain the body's ph in the normal range.
Metabolic alkalosis
increased ph above 7.45
increased HCO above 36
decreased H+ ions
may be seen sith K+ less than 3.5
compensation is a result of increase in C02
Metabolic acidosis
causes
starvation
DKA
renal failure
schock
diarrhea
Metabolic acidosis
sign and symptoms
hypotension
tachypnea
fruity breath
cold clammy skin
nausea vomiting
diarrhea
confusion
Kussmaul's respirations
flushed warm dry skin
dysrhythmias
stupor
coma
Metabolic alkalosis
signs and symptoms
muscle weakness
hyporeflexia
polyuria or polydipsia related to hypokalemia
cardicac rehythm disturbances
neuromuscular excitability
apathy
confucion
stupor
Metabolic acidosis
causes
Loss of bicarbonate, diarrhea
excess adid production, ketoacidosis, diabetes, alcohol induced lactic acidosis
excess acid ingestion, cocain
renal failure
potassium sparing diuretics