Mark K Lecture #1

Mark K Lecture #1
Metabolic - ANS-When the pH and bicarb (HCO3) are in the same direction it is what?

pH - ANS-7.35-7.45

HCO3 - ANS-22-26

PaCo2 - ANS-45-35

acidosis/alkalosis - ANS-what is based off of the pH?

the body gets more irritable/hyperexcitable - ANS-as the pH goes up, so does my
patient, except for potassium

the body systems start to shut down - ANS-as the pH goes down, so does my patient,
except for potassium

potassium goes up - ANS-when pH goes down

potassium goes down - ANS-when pH goes up

alkalosis signs & symptoms (things go up) - ANS-seizure
irritability
hyperreflexia (+3/+4)
tachypnea/tachycardia
borborgymi (increased bowel sounds)

acidosis signs & symptoms (things go down) - ANS-coma
bradycardia
paralytic ileus
hyporeflexia (0/+1)
lethargic/obtunded

seizures, have a suction at bedside - ANS-alkalosis patient's are more prone to what?

coma/respiratory arrest (have ambu bag at bedside) - ANS-acidosis patient's are more
prone to what?