Mark Klimek Lecture 1
Acid-Base Rule of Bs - ANS-If the pH and the bicarb are both in the same direction, it is
metabolic
↑ pH - bicarb ↑ - ANS-Metabolic alkalosis
↓ pH - bicarb ↓ - ANS-metabolic acidosis
↓ pH - bicarb ↑ - ANS-respiratory acidosis
↑ pH - bicarb normal - ANS-respiratory alkalosis
Symptoms of Alkalosis - ANS-Hyper systems, except for K (irritable, hyper reflexes,
tachicardia, DECREASED POTASSIUM, borborygme (increased bowel sounds)
Symptoms of Acidosis - ANS-Hypo systems, except for K (paralytic, hypo reflexes,
bradycardia, lethargy, obtunded, coma, INCREASED POTASSIUM, respiratory arrest)
(Mac) Kussmaul breathing - ANS-deep, rapid, labored breathing = metabolic acidosis
Is it Lung? If so.... - ANS-Respiratory
Overventilating or underventilating - ANS-Overvent = alkalosis
Undervent = acidosis
If not lung then... - ANS-metabolic
Prolonged gastric vomiting or suctioning - ANS-alkalosis
Everything else that is not Lung... - ANS-Metabolic acidosis
High pressure vent alarm - ANS-Triggered by increased resistance to airflow (machine
has to push too hard to get air into the lungs)
Causes of high pressure vent alarms - ANS-Obstructions
1. Kinks in tubing --- unkink
2. Water condensing in loops --- empty condenser
Acid-Base Rule of Bs - ANS-If the pH and the bicarb are both in the same direction, it is
metabolic
↑ pH - bicarb ↑ - ANS-Metabolic alkalosis
↓ pH - bicarb ↓ - ANS-metabolic acidosis
↓ pH - bicarb ↑ - ANS-respiratory acidosis
↑ pH - bicarb normal - ANS-respiratory alkalosis
Symptoms of Alkalosis - ANS-Hyper systems, except for K (irritable, hyper reflexes,
tachicardia, DECREASED POTASSIUM, borborygme (increased bowel sounds)
Symptoms of Acidosis - ANS-Hypo systems, except for K (paralytic, hypo reflexes,
bradycardia, lethargy, obtunded, coma, INCREASED POTASSIUM, respiratory arrest)
(Mac) Kussmaul breathing - ANS-deep, rapid, labored breathing = metabolic acidosis
Is it Lung? If so.... - ANS-Respiratory
Overventilating or underventilating - ANS-Overvent = alkalosis
Undervent = acidosis
If not lung then... - ANS-metabolic
Prolonged gastric vomiting or suctioning - ANS-alkalosis
Everything else that is not Lung... - ANS-Metabolic acidosis
High pressure vent alarm - ANS-Triggered by increased resistance to airflow (machine
has to push too hard to get air into the lungs)
Causes of high pressure vent alarms - ANS-Obstructions
1. Kinks in tubing --- unkink
2. Water condensing in loops --- empty condenser
