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accumulation of HCO3
decrease in H+ concentration
*if left untreated can cause cardiac arrhythmia, coma, or death
vomiting or gastric suction; loss of hydrochloric acid from stomach
loss of K
excess alkali ingested from antacids(containing HCO3)
use of Sodium Bicarbonate during CPR
Signs & Symptoms
mostly related to movement of Ca (decreased Ca ionization)
tingling of fingers and toes
carpopedal spasm (Trousseau sign)
depressed respirations (b/c of compensation trying to hold CO2)
paralytic ileus (gut shuts down to hold HCO3)
ABGs (increased pH and HCO3)
decreased respirations (shallow breathing) to hold CO2
eliminate the cause (too much bicarb, to much loss of acid)
use antiemetics, H2 blockers
correct electrolyte imbalances
give calcium gluconate
correct fluid volume depletion
give to patient to correct calcium imbalance in patient with carpopedal spasms or tingling fingers/toes
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