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[DOC File]Acid-Base Balance and the Anion Gap
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B. metabolic acidosis = all other types of acidosis besides those caused by excess . CO2 in the body fluid. C. causes of metabolic acidosis. 1. failure of the kidneys to excrete metabolic acids normally formed in . the body. 2. formation of excess quantities of metabolic acids in the body. 3. addition of metabolic acids to the body by ingestion ...
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[DOCX File]ACID BASE BALANCE - 1 File Download
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Metabolic acidosis. Key assessments. Bicarb is low . Aspirin overdose resp. alkalosis when compensates. Sepsis. Diarrhea (getting rid of too many bases) ESRD patients (holding onto acid) DKA (kuzzmaul’s resp. are respiratory alkalosis compensation) Priority Dx. Dx for order that is causing it.
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[DOC File]1 File Download
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Compensated respiratory acidosis. respiratory acidosis (initial problem was with lungs) compensation was renal bicarb production. Kidneys can’t get rid of acid, e.g. kidney failure. Acidotic. Metabolic acidosis: initial problem NOT with lung but rather kidney or GI tract . Compensation: breathe more get back to reasonable pH
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[DOC File]Arterial Blood Gases:
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VI. Rational Use of Sodium Bicarbonate in the Treatment of Metabolic Acidosis. Principles of bicarbonate therapy. Do not give as IV push except during CPR. Calculate deficit conservatively as follows: Goal: pH . 7.25. The blood HCO3 concentration needed to achieve this pH rarely exceeds 15 mEq/L if patient is capable of maintaining pCO2 < 35 mmHg.
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Metabolic acidosis | definition of metabolic acidosis by Medical dic…
Respiratory Acidosis. Metabolic Alkalosis. Respiratory Alkalosis. Gap. 1. Winters formula to check for appropriate resp compensation: Exp pCO2 = 1.5[HCO. 3] + 8 +/- 2Obs > exp pCO2 = resp acidosis. Obs < exp pCO2 = resp alkalosis. 2. = gap + serum bicarb. If 24 = metabolic alkalosis. 3. If no explanation for gap ...
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[DOC File]Fluid and Electrolyte Therapy in Children
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Sep 06, 2020 · Step 4: Match the PH with either CO2 or Bicarb (HCO3) What matches PH is the primary imbalance. Step 5: Look for value that goes opposite direction of the PH. If PH is acidotic - look for the thing that is Alkylotic that is compensation. If PH is alkylotic - Step 6: Look at P02 and O2 Sat. PH: 7.35-7.45 High is Alkalosis/Low is acidosis
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OHIO Open Library
If the pH and the Bicarb are in the same direction METABOLIC. If the pH and the Bicarb are in different directions RESPIRATORY Examples: pH 7.25 (v) HCO3 20 (v) Metabolic Acidosis. pH 7.21 (v) HCO3 38 (^) Respiratory Acidosis. pH 7.50 (^) HCO3 30 (^) Metabolic Alkalosis. pH 7.50 (^) HCO3 25 (normal) Respiratory Alkalosis (NORMAL) SIGNS & SYMPTOMS
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[DOCX File]clemsonaphistudy.weebly.com
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║ Check the bicarb on the SMA-6 and the pCO2 on the gas. pH with ║ ║ [HCO3-], or pH with [HCO3-], indicates a primary metabolic acidosis ║ ║ or alkalosis; pH with pCO2, or pH with pCO2, indicates a primary ║ ║ respiratory acidosis or alkalosis.
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[DOCX File]Acidosis or Alkalosis
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Metabolic acidosis means extra H+ ions are coming from a metabolic derangement, such as lactic acidosis in a diabetic, which will result in excessive respiration rate, lowering the PaCO2, while at the same time raising the PaO2. Predict the degree of respiratory compensation with a metabolic acidosis. PaCO2 = (1.5 X [HCO3 –]) + 8
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RENAL CONTROL OF ACID-BASE BALANCE
In an acidosis, the kidney first acts to reclaim or reabsorb EVERY single HCO3- molecule because the body needs them to try to neutralize acid, but simply reclaiming HCO3- is NOT enough to correct an acidosis—in addition, the kidney must pump H+ out of the blood into the tubules to be lost in the urine; this pumping out or secretion of acid has the effect of generating new bicarbonate ions;
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Metabolic acidosis bicarb