Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
Ohio | Columbus State Community Alexandria • cards
College | 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
,Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
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
,Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
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
, Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
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
Klimek- Yellow Book
Ohio | Columbus State Community Alexandria • cards
College | 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
,Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
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
,Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
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
, Ohio | Columbus State Community College | Mark
Klimek- Yellow Book
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
