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Mark Klimek- Yellow Book M. 543
Rule of the B's: If the ____
and the _____ are ______ in
the same direction then it is
meta_____
pH, Bicarb, Both, Bolic
pH 7.30_______ HCO3
20_______
↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3
32_______
↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3
30_______
↓= acidosis; ↑= respiratory
MacKussmaul
,The only acid base to cause
Kussmaul respirations is Metabolic
ACidosis
Compensation only
_______ the pH
Changes
pH 7.42 _______ HCO3 19
_______
↑= compensated alkalosis ↓=
respiratory
pH 7.43 _______ HCO3 34
_______
↑= compensated alkalosis ↑=
metabolic
pH 7.39 _______ HCO3 25
_______ CO2 61 _______
Norm., norm., ↑ = CO2 problem not
acid-base problem
As the _______ goes, so
goes _______ except for
_______
,_______
pH, my patient, Potassium
pH is Up
Alkalosis, Hypokalemia, HTN,
Tachycardia, Tachypnea, Seizures,
Irritability, Spastic, Diarrhea,
Borborygme, Hyperreflexia, etc
Tachy, hyper, elevated, irritable,
peaking, increase, spastic, rise
pH is Down
Acidosis, Hyperkalemia, htn,
Bradycardia, Constipation, Absent
bowel sounds, Flacid, Bradypnea
Brady, hypo, lethargic, decrease, few,
scant, suppressed
Causes of acid-base
imbalances: First ask
yourself, "Is it _______?" If
yes, then it's _______.
Then ask yourself: "Are they
_______ or ______?" If
_______, pick _______. If
_______, pick _______
lung, respiratory, overventilating,
underventilating, overventilating,
alkalosis, underventilating, acidosis
, Causes of acid-base
imbalances: If it's not lung,
then it's _______. If the
patient has _______
_______ vomiting or
suctioning, pick _______.
For everything else that
isn't lung, pick _______
_______. When you don't
know what to pick, choose
_______
metabolic, prolonged(days) gastric,
alkalosis, metabolic acidosis,
metabolic acidosis
High pressure alarms are
triggered by _______
resistance to air flow.
increased
High pressure alarms are
triggered by increased
resistance to airflow and
can be caused by
obstructions of three types:
_______-> action: _____,
_______-> action: _____,
_______-> action: _____
(Least invasive to most)
kinked tube-> action: unkink
water in tube-> action:empty
mucus in airway-> action: cough
and deep breathe
Mark Klimek- Yellow Book M. 543
Rule of the B's: If the ____
and the _____ are ______ in
the same direction then it is
meta_____
pH, Bicarb, Both, Bolic
pH 7.30_______ HCO3
20_______
↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3
32_______
↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3
30_______
↓= acidosis; ↑= respiratory
MacKussmaul
,The only acid base to cause
Kussmaul respirations is Metabolic
ACidosis
Compensation only
_______ the pH
Changes
pH 7.42 _______ HCO3 19
_______
↑= compensated alkalosis ↓=
respiratory
pH 7.43 _______ HCO3 34
_______
↑= compensated alkalosis ↑=
metabolic
pH 7.39 _______ HCO3 25
_______ CO2 61 _______
Norm., norm., ↑ = CO2 problem not
acid-base problem
As the _______ goes, so
goes _______ except for
_______
,_______
pH, my patient, Potassium
pH is Up
Alkalosis, Hypokalemia, HTN,
Tachycardia, Tachypnea, Seizures,
Irritability, Spastic, Diarrhea,
Borborygme, Hyperreflexia, etc
Tachy, hyper, elevated, irritable,
peaking, increase, spastic, rise
pH is Down
Acidosis, Hyperkalemia, htn,
Bradycardia, Constipation, Absent
bowel sounds, Flacid, Bradypnea
Brady, hypo, lethargic, decrease, few,
scant, suppressed
Causes of acid-base
imbalances: First ask
yourself, "Is it _______?" If
yes, then it's _______.
Then ask yourself: "Are they
_______ or ______?" If
_______, pick _______. If
_______, pick _______
lung, respiratory, overventilating,
underventilating, overventilating,
alkalosis, underventilating, acidosis
, Causes of acid-base
imbalances: If it's not lung,
then it's _______. If the
patient has _______
_______ vomiting or
suctioning, pick _______.
For everything else that
isn't lung, pick _______
_______. When you don't
know what to pick, choose
_______
metabolic, prolonged(days) gastric,
alkalosis, metabolic acidosis,
metabolic acidosis
High pressure alarms are
triggered by _______
resistance to air flow.
increased
High pressure alarms are
triggered by increased
resistance to airflow and
can be caused by
obstructions of three types:
_______-> action: _____,
_______-> action: _____,
_______-> action: _____
(Least invasive to most)
kinked tube-> action: unkink
water in tube-> action:empty
mucus in airway-> action: cough
and deep breathe
