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what does pH tell you - (answer)the expression of the balance between carbon dioxide and
bicarbonate
what causes a lower pH in the body - (answer)the greater the concentration of hydrogen, the
more acidic the body fluids
what causes a higher pH in the body - (answer)the lower the concentration of hydrogen, the more
alkaline the body fluids
hyperventilation and hydrogen ions - (answer)causes a decrease in hydrogen ions
hypoventilation and hydrogen ions - (answer)causes an increase in hydrogen ions
normal pH for the blood - (answer)7.35-7.45
what causes respiratory acidosis - (answer)hypoventilation
,what causes hypoventilation - (answer)- respiratory depression from opioids, poisons
- brain tumors, stroke, trauma
- muscle weakness, flail chest, obesity, sleep apnea
- airway obstruction
- pneumothorax
manifestations of respiratory acidosis - (answer)- tachycardia (severe is bradycardia), tachypnea,
hypertension
- anxiety, irritability, confusion, coma
- ineffective, shallow, rapid breathing
- pale or cyanotic
nursing care for a patient with respiratory acidosis - (answer)- oxygen therapy
- maintain patent airway
- positioning and breathing techniques
what causes respiratory alkalosis - (answer)hyperventilation
,what causes hyperventilation - (answer)- fear, anxiety, intracerebral trauma, excessive
mechanical ventilation
- hypoxemia from asphyxiation, high altitudes, shock, pneumonia
lab values for respiratory alkalosis - (answer)PaCO2: less than 35
pH: greater than 7.45
HCO3: less than 24
lab values for respiratory acidosis - (answer)PaCO2: greater than 45
pH: less than 7.35
HCO3: greater than 28
manifestations of respiratory alkalosis - (answer)- tachypnea
- inability to concentrate, numbness, tingling
- tachycardia, dysrhythmias
- rapid deep respirations
nursing care for respiratory alkalosis - (answer)- oxygen therapy
- anxiety reduction interventions
, - rebreathing techniques
what causes metabolic acidosis - (answer)- diabetic ketoacidosis
- starvation
- heavy exercise, seizure activity, hypoxia
- liver failure
- diarrhea
lab values for metabolic acidosis - (answer)pH: less than 7.35
HCO3: less than 24
PaCO2: greater than 35
manifestations of metabolic acidosis - (answer)- dysrhythmias
- bradycardia, weak pulses, hypotension, tachypnea
- headache, drowsiness, confusion
- rapid deep respirations (kussmaul)
causes of metabolic alkalosis - (answer)- oral ingestion of excess amount of antacids