Normal pH
7.35-7.45
what is acidosis
more acid (H+)
what is alkalosis
more base
what does ROME stand for
respiratory opposite metabolic equal
CO2: acid or base?
acid
HCO3: acid or base?
base
name two causes of resp acid
-CNS depression: drugs, head injury
-Respiratory Patho: CHF, PE, COPD, etc.
-Chest wall injury
-Paralysis of chest muscles
-Air with high CO2 content
explain the "RO" part
respiratory opposite:
higher CO2 lower pH
lower CO2 higher pH
how is CO2 "controlled"?
lungs
how is HCO3 "controlled"?
kidneys
name three causes of resp alk
-Anxiety, fear, HYPERVENTILATION
-Lung lesions, meningitis
-Salicylate toxicity
-Fever, encephalitis
-Mechanical ventilation
explain the "ME" part
metabolic equal:
higher HCO3 higher pH
lower HCO3 lower pH
uLactic Acidosis
-Diabetic ketoacidosis
-Starvation – ketosis
-Kidney failure
-Diarrhea or intestinal losses
-Renal tubular acidosis
name four causes of met alk
uVomiting
-GI suction (NG)
-Bulemia
-Diuretics
-Hyperaldosteronism
-Overdose of Tums or Rolaids
explain respiratory compensation
acid>>more breathing
alk>>less breathing
acid>>kidneys retain HCO3
alk>>kidneys excrete HCO3
define respiratory acidosis in your own words
example: the increase of acid in the body due to higher CO2 levels
define respiratory alkalosis in your own words
example: "the decrease of acid in the body due to low CO2 levels"
define metabolic acidosis in your own words
example: the decrease of base in the body due to less HCO3 levels
define metabolic alkalosis in your own words
example: the increase of base in your body due to higher HCO3 levels