normal values P
What is the normal range for pH?
7.35-7.45
PH decreases, Respiratory rate/depth increase
Acidosis
The client has a pH=7.3, Hco3=20. What is pH imbalance?
Metabolic acidosis
What is the main nursing intervention for a client experiencing alkalosis?
Suction for seizures
What type of acid base derangement is present in the following conditions? In labor?
Respiratory alkalosis
( ventilating= pH goes up)
What is the normal range for C02 ?
35-45
pH increases, respiratory rate/depth decrease
Alkalosis
A client has labs drawn the pH=7.58, Hco3=32? What is the acid base imbalance?
Metabolic alkalosis
If the pH is below 7.35= acidosis
PH is low so everything is low except ?
K+
What type of acid base derangement is present when drowning?
Respiratory acidosis
(Under-ventilating pH goes down)
What is the normal range for Hc03?
22-26
pH/Co2
Opposite direction
Respiratory
A client’s labs are as follows pH=7.22, Hco3=35. What is the pH imbalance?
Respiratory alkalosis
What are the symptoms in a client experiencing acidosis?
Bradycardia, constipation, absent bowel sounds, flaccid, obtunded lethargy, coma, hyporeflxia (0,1+), bradypnea, low BP
For a client with an RCA (patient- controlled anesthesia) pump. What type of acid base derangement is present?
Respiratory acidosis
(Under ventilating, pH goes down)
What is the normal range for Pc02?
35-45
pH/Bicarb(Hco3)
Metabolic
If the pH is over 7.45 it is alkalosis
pH is high so is everything else except?K+ (potassium)
What is the main nursing intervention in a client with hyperkalemia?
Ambulance bag/intubation and ventilation for respiratory arrest
If the acid base is not related to the lungs what acid would the problem be?
Metabolic
What is a normal range for P02?
80-100
What does the acronym ROME stand for?
Respiratory
Opposite
Metabolic
Equal
What are the symptoms of a client with alkalosis?
Tachycardia, tachypnea, HTN, seizures, irritability, spastic, diarrhea, burborygmi ( increased bowl sounds), hyperflexia (3+,4+)
What is the only acid base imbalance that causes metabolic acidosis with kussmaul respiration (deep/labored breathing pattern) ?
Mackussmaul
If the client is vomiting or suctions( sucking out acid) you should pick which acid?
Metabolic alkalosis
( for everything else that is NOT lungs, pick metabolic acidosis)
{if you don’t know the answer pick “metabolic acidosis }