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16 Cards in this Set

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  • Back
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What is Respiratory Acidosis?
Excess Carbon Dioxide or CO2 retention...(too much CO2)
What is Respiratory Alkalosis?
Excess CO2 excretion....(deficit of CO2)
What is Metabolic Acidosis?
Bicarbonate or HCO3 loss with acid retention
What is Metabolic Alkalosis?
Bicarbonate or HCO3 retention and acid loss
What are possible causes for respiratory acidosis?
-CNS depression from drugs, injury or disease
-Asphyxia (to smother)
-Hypoventilation related to a disease
(3)
What are possible causes for respiratory alkalosis?
-Hyperventilation from anxiety, pain or improper ventilator settings
-respiratory stimulation due to drugs, disease, hypoxia, or fever
-Gram negative bacteremia
(3)
What are possible causes for metabolic acidosis?
-Bicarbonate depleation from diarrhea
-Excess production of organic acids from hepatic disease, endocrine disorders, shock, or drug intoxication
-Inadequate excretion of acids from renal disease
(3)
What are possible causes for metabolic acidosis?
-Loss of hydrocloric acid from prolonged vomiting or gastric suctioning
-Loss of potassium from increased renal excretion(as in diuretic therapy) or steroids
-Excessive alkali ingestion
(3)
What are the symptoms for respiratory acidosis?
-Restlessness
-Confusion
-Coma
-Headaches
-SOB
-Tachypnea (fast respirations >20)
-Decreased reflexes
-Hypoxemia(low o2 in blood)
-Tachycardia
-Arrhythmias
(10)
What are the symptoms for respiratory alkalosis?
•Deep and rapid respirations
•Dizziness
•Agitation
•Circumoral and peripheral paresthesia(numbness around lips)
•Carpopedal spasms, twitching,(spasms of feet and hands) and muscle weakness
(5)
What are the symptoms for metabolic acidosis?
•Bicarbonate depletion from diarrhea
•Excess production of organic acids from hepatic disease, endocrine disorders, shock, or drug intoxication
•Inadequate excretion of acids from renal disease
(3)
What are the symptoms for metabolic alkalosis?
•Loss of hydrochloric acid from prolonged vomiting or gastric suctioning
•Loss of potassium from increased renal excretion (as in diuretic therapy) or steroids
•Excessive alkali ingestion
(3)
What are the treatments for respiratory acidosis?
•Bronchodilator(meds that dilate lung bronchus)
•Oxygen
•Treat hyperkalemia (^K+)
•Treat infection
•Treat underlying causes
•Chest CPT
(6)
What are the treatments for respiratory alkalosis?
•Treat underlying cause: sepsis, salicylate (aspirin) overdose
•Hypoxia: give O2
•Anxiety: give a sedative
•Hyperventilation: breathe into a paper bag
•Adjust ventilator settings
(5)
What are the treatments for metabolic acidosis?
•Mechanical ventilation is usually the first line of therapy
•Treat DKA(diabetic Keto Acidosis)
•Administer sodium bicarbonate
•Dialysis
(4)
What are the treatments for metabolic alkalosis?
•D/C(discontinue) thiazide diuretics and NG suctioning
•Give an antiemetic for N/V(nausea and vomiting)
•Meds to excrete bicarb
(3)