Module 1)NURS 5463 Module 1 Study Guide: Questions & Answers: Updated Solution

What does the base excess or deficit indicate? What are the ranges and what do they mean? (Ans- -indicate the excess or insufficient amount of bicarb in the body -range is from 2 to -2; more positive the more base=metabolic alkalosis; more negative=metabolic acidosis -suggest a metabolic abnormality What does the pneumonic KULT and MUDPILERS represent? Used when? (Ans- -K-ketoacidosis, U-uremia, L-lactic acidosis, T-toxins -M-methanol, U-uremia, D-DKA, P-paraldehyde, I-INH or isonictinic hydrazine (Isoniazide-TB drug), L-lactic acid, E-theylene glycol, RRhabdomyolosis/renal failure -with an elevated anion gap What is the neumonic HARDUPS represent? Used when? (Ans- -H-hyperalimentation, A-acetazolomide, R-renal tubular, D-diarrhea, Uutero/pelvic shunt, P-?hypocapnia, S-spirolactoneExplain the delta ratio, normal ranges, and what the ranges mean. (Ans- -it assess simultaneous acid-base disorders -normal range is 1-2 (pure metabolic acidosis) -Less than 1 means that there is a combined high anion gap metabolic acidosis and a normal metabolic acidosis -Greater than 2 means there is a high anion gap metabolic acidosis with a concurrent metabolic alkalosis. How do you calculate the delta-ratio?