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Normal level K+

3.5-5.0 mEq/L

Normal level Na+

136-145 mEq/L

Normal level Ca2+

9.0-10.5 mg/dL

Normal Cl-

98-106 mEq/L

Normal Mg2+

1.3-2.1 mEq/L

Normal pH range

7.35-7.45

PaO2 range

80-100 mmHg

Normal PaCO2

35-45 mmHg

Normal Bicarb

21-28 mEq/L

Lactate

3-7 mg/dL (arterial)



Common causes of Acidosis (metabolic)

DKA, SZ activity, fever, Hypoxia/Ischemia, Diarrhea, Kidney failure, Ethanol intox, Salicylate intox

Common causes of acidosis (resp)

Respiratory Depression (anesthetics, drugs, electrolyte imbalance), inadequate chest expansion airway obstruction, muscle weakness

Common causes of Alkalosis (metabolic)

Oral ingestion of bases (antacids), blood transfusion, sodium bicarb, TPN, prolonged vomiting, nasogastric suctioning, hypercortisolism, thiazide diuretics

Causes of alkalosis (Resp.)

Hyperventilation, fear, anxiety, mechanical ventilation, salicylate toxicity, high altitudes, shock, early stage acute pulmonary problems.

Causes of dehydration

Hemorrhage, vomiting, diarrhea, burns, sever wounds, suction (GI) fever, unconsciousness, impaired thirst



Causes of Fluid overload

Excessive fluid replacement, kidney failure(late), HF, long term corticosteroid use, water intox, syndrome of inappropirate antidiuretic horone, psych disorders with polydipsia

Palmar flexion indicating a positive Trousseau's sign is from

Hypocalcemia



Facial muscle response indicating a positive Chvostek's sign is from

Hypocalcemia

Trousseau's sign

Place a BP cuff on arm and inflate above patient systolic BP. Leave for 1-4 min if palmar flexion occurs it is positive

Chvostek's sign

Tap the face just below and in front of the ear (over the facial nerve). If facial twitching is triggered on one side of the moth nose and cheek the sign is positive.