Metabolic acidosis and alkalosis

28 terms by goatgrrl

Create a new folder

Advertisement Upgrade to remove ads

Therapeutics exam 1 fluid disorders

caused by methanol and ethylene glycol intoxication

metabolic acidosis (increased anion gap)

patients with this present with high anion gap metabolic acidosis, severe acidemia, hyperglycemia, ECF depletion, seemingly normal potassium

DKA

this is a high anion gap metabolic acidosis that can occur when the GFR declines below 20% of normal

uremic acidosis

respiratory compensation for metabolic acidosis

increased ventilation which produces a secondary decrease in PCO2

treatment of DKA

insulin, saline, potassium

impact of ECF depletion on acid-base status

causes increased renal retention of HCO3-

patients with metabolic alkalosis due to ECF depletion respond to this

NS

amount of chloride in urine in someone with saline-responsive metabolic alkalosis

less than 10

acid-base disorder caused by vomiting

metabolic alkalosis

acid-base disorder caused by profound potassium depletion

metabolic alkalosis

acid-base disorder caused by diarrhea

metabolic acidosis

respiratory compensation for metabolic alkalosis

decreased ventilation which produces a secondary increase in PCO2

normal anion gap

9-16

meaning of low pH (less than 7.35)

either metabolic or respiratory acidosis

low pH and low HCO3-

metabolic acidosis

low pH and high PCO2

respiratory acidosis

high pH (more than 7.45)

either metabolic or respiratory alkalosis

high pH and high HCO3-

metabolic alkalosis

high pH and low PCO2

respiratory alkalosis

faster compensation mechanism--lungs or kidneys?

lungs

starting treatment for DKA

NS

give this after NS for DKA

insulin

type of alkalosis with a urine chloride < 10

saline responsive

type of alkalosis with a urine chloride > 20

saline resistant

excessive diuretics, vomiting, CF cause this type of metabolic alkalosis

saline responsive

excess mineralcorticoid activity causes this type of metabolic alkalosis

saline resistant

treatment for metabolic alkalosis with low BP

NS

must treat this first in metabolic alkalosis

underlying cause (vomiting-->anti-emetics)

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set