Acid-Base balance Questions with Answers (100% Correct
Answers)
Respiratory acidosis
Ans: pH low, PaCO2 high, K+ high.
compensated by HCO3 high to bring pH to normal
Metabolic acidosis
Ans: pH low, HCO3 low, K+ high
compensated by PaCO2 low
Respiratory alkalosis
Ans: pH high, PaCO2 low, K+ low.
compensated by HCO3 low to bring pH to normal
Metabolic alkalosis
Ans: pH high, HCO3 high, K+ low
compensated by PaCO2 high
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Buffer system
Ans: CO2 + H2O = H2CO3 = H(+) + HCO3
What causes
Metabolic alkalosis?
Ans: loss of hydrogen ions or acids or
an excess of base bicarbonate
For example:
-hypovolemia,
-the loss of gastric fluid via NG suction or vomitting,
-excessive bicarbonate intake,
-massive transfusion of whole blood,
-hyperaldosteronism.
The nurse reviews the arterial blood gas results of a client and notes the following:
pH 7.45, Paco2 of 30 mm Hg (30 mm Hg), and HCO3- of 20 mEq/L (20 mmol/L). The
nurse analyzes these results as indicating which condition?
Ans: Respiratory alkalosis, compensated
The nurse is caring for a client with a nasogastric tube that is attached to low
suction. The nurse monitors the client for manifestations of which disorder that the
client is at risk for?
Ans: Metabolic alkalosis
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