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49 Cards in this Set

  • Front
  • Back
Diabetic ketoacidosis
Metabolic acidosis
Too much lactic acid
Metabolic acidosis
High fat diet
Metabolic acidosis
Malnutrition
Metabolic acidosis
Ineffective carbohydrate metabolism
Metabolic acidosis
Severe diarrhea
Metabolic acidosis
Hypovolemia
Metabolic alkalosis
Loss of gastric fluid
Metabolic alkalosis
Excessive bicarbonate intake
Metabolic alkalosis
Toxins like aspirin
Metabolic acidosis
Massive blood transfusion
Metabolic alkalosis
Hyperaldostoronism
Metabolic alkalosis (b/c of Increased Na and Bicarbonate absorbtion in kidneys)
COPD
Respiratory acidosis
CO2 is an acid or base?
Acid
H is an acid or base?
Acid
Fever
Respiratory alkalosis
Pain
Respiratory alkalosis
Hyperventilation
Respiratory alkalosis
Hypoxia
Respiratory alkalosis (b/c you want to breathe MORE)
Overventilation by mechanical ventilators
Respiratory alkalosis
Brain trauma
Respiratory acidosis
Asthma
Respiratory acidosis
Bronchiectasis and Bronchitis
Respiratory acidosis
CNS depressants
Respiratory acidosis
Pneumonia
Respiratory acidosis
Pulmonary emboli
Respiratory acidosis
Atelectasis
Respiratory acidosis
Hyperkalemia associated with...
Respiratory and Metabolic acidosis
Hypokalemia associated with...
Respiratory and Metabolic alkalosis
pH
7.35-7.45
PCO2
35-45 mmHg
HCO3
22-27 mEq/L
PO2
80-100 mmHg
Allen Test
1. Apply pressure to radial and ulnar arteries.
2. Client pumps hand.
3. Let go of ulnar artery.
4. If ulnar artery can compensate w/in 6 sec., you're good.
5. Assess color of hand distal to pressure point.
DO THIS B/C ABG COLLECTION IS FROM RADIAL ARTERY. IF IT'S DAMAGED, ISCHEMIA CAN OCCUR.
Obtaining ABG...
1. Explain procedure.
2. Obtain vital signs.
3. Assess factors that can contribute to ABG changes.
4. Provide emotional support.
5. Assist w/draw by preparing heparin syringe.
6. Apply pressure after draw for 5 min. regular or 10 min. for pt. on anticoagulant therapy.
7. Label specimen and transport to lab on ice.
8. Record client temp. and supplemental O2.
3 things that can affect ABG's
1. O2 setting changes
2. Suctioning w/in past 20 min.
3. Client activities
Respiratory imbalance is indicated by...
Opposite relationship between pH and CO2
Metabolic imbalance is indicated by...
Cooresponding relationship between pH and HCO3
Ca
8.7-10
Ph
2.7-4.5
Mg
1.6-2.6
K
3.5-5.1
Na
135-145
Cation
Positive
Anion
Negative
Hypocalcemia ECG...
Prolonged ST or QT interval
Hypernatremia symptoms...
Extreme thrist, decreased urinary output, increased urine specific gravity
Sensible fluid loss
GI tract, urinary output, wound drainage
Insensible fluid loss
Skin and lungs