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1. pH: 7.35-7.45
affects critical body function such as cardiac contractility and tissue oxygenation.
2. PaCO2: 35-45 mmHg
affects critical body function
3. PaO2: 80-100 mmHg
affects oxygenation of vital organs and tissues
4. HCO3: 22-26 mEq/L
Bicarbonate is a weak base that aides in buffering the blood
5. Acid: is a substance that releases hydrogen ions.
most common body fluid acid is carbonic acid
6. Base: is a substance that accepts hydrogen ions
most common body fluid base is bicarbonate
7. pH: reflects the balance between hydrogen ions and bicarbonate
8. chemical buffers: neutralize the offending acid or base
bicarbonate (HCO3), phosphate and protein
9. Respiratory System: maintains acid-base balance by regulating the carbon dioxide in the blood
10. Renal System: maintains acid-base balance by absorbing or excreting acid and bases in response to the
pH
produces bicarbonate in order to neutralize the blood
11. respiratory and metabolic acidosis
Assessment findings: EKG changes to include tall T waves, widened QRS, and prolonged QRS
Bradycardia
Hypotension
Decreased level of consciousness
Decreased reflexes
Muscle weakness
Kussmaul respirations
Alterations in skin (respiratory - pale to cyanotic, dry skin; metabolic - warm, flushed dry skin)
12. Respiratory and Metabolic Alkalosis
Assessment findings: Tachycardia
Hypotension
Increased respiratory rate
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