88 terms

Acid base

STUDY
PLAY

Terms in this set (...)

cause of anion gap metabolic acidosis
methanol
cause of anion gap metabolic acidosis
uremia
cause of anion gap metabolic acidosis
DKA
cause of anion gap metabolic acidosis
metformin
cause of anion gap metabolic acidosis
stavudine
cause of anion gap metabolic acidosis
topiramate
cause of anion gap metabolic acidosis
phosphate
cause of anion gap metabolic acidosis
paraldehyde
cause of anion gap metabolic acidosis
ischemia
cause of anion gap metabolic acidosis
isoniazid
cause of anion gap metabolic acidosis
iron
cause of anion gap metabolic acidosis
lactate
cause of anion gap metabolic acidosis
ethylene glycol
cause of anion gap metabolic acidosis
starvation
cause of anion gap metabolic acidosis
salicylates
to correct the anion gap for low albumin, add ___ for every 1 g/dL that albumin is decreased (from 4)
2.5
increased anion in normal-gap acidosis
chloride
cause of normal-gap metabolic acidosis
diarrhea
cause of normal-gap metabolic acidosis
ureteral diversion
cause of normal-gap metabolic acidosis
renal tubular acidosis
cause of normal-gap metabolic acidosis
hyperalimentation
cause of normal-gap metabolic acidosis
Addison's disease
cause of normal-gap metabolic acidosis
acetazolamide
cause of normal-gap metabolic acidosis
ammonium chloride
cause of normal-gap metabolic acidosis
chloridorrhea
cause of normal-gap metabolic acidosis
amphotericin B
cause of normal-gap metabolic acidosis
toluene (late)
cause of anion gap metabolic acidosis
toluene (early)
cause of low anion gap metabolic acidosis
bromide ingestion, bromism
cause of low anion gap metabolic acidosis
albumin low
cause of low anion gap metabolic acidosis
multiple myeloma
in pure elevated anion gap acidosis, ________ decreases by 1 for every increase of 1 of the anion gap
bicarb
delta delta equation is also known as
corrected bicarbonate
corrected bicarb is less useful if anion gap acidosis is caused by
lactate
acid excretion defect of the kidney
RTA 1
acid excretion defect of the kidney
RTA 4
bicarbonate reabsorption defect
RTA 2
urine anion gap greater than 0
RTA 1
urine anion gap greater than 0
RTA 4
Urine anion gap calculated by urine sodium + potassium - ________
chloride
urine chloride is _______ when the kidney is excreting acid
elevated
Winter's formula is 1.5 x bicarb + ____ +/- 2 = pCO2
8
ingestion causes papilledema and retinal hemorrhages
methanol
ingestion causes oxalate crystals in urine
ethylene glycol
ingestion will cause acetone (ketone) in serum
isopropyl alcohol
ingestion causes renal tubular acidosis
toluene
causes osmolar gap
methanol
causes osmolar gap
ethylene glycol
causes osmolar gap
isopropyl alcohol
causes osmolar gap
toluene
estimated serum osmolality = 2 x Na + BUN / 2.8 + glucose / 18 + ethanol / ____
4.6
cause of metabolic alkalosis
Cushing's disease
cause of metabolic alkalosis
Conn's disease (aldosterone-producing adenoma)
cause of metabolic alkalosis
renal artery stenosis
administration of _______ can increase serum bicarbonate
lactate
administration of _______ can increase serum bicarbonate
acetate
administration of _______ can increase serum bicarbonate
citrate
administration of _______ can cause acid loss
penicillin
administration of _______ can cause acid loss
carbenicillin
in volume depletion, _______ may be resorbed with sodium
bicarbonate
mineralocorticoids stimulate renal excretion of _______
hydrogen ion
low urine chloride is < _____ mEq/dL
10
causes low urine chloride
volume depletion
licorice inhibits degradation of ______
cortisol
________ may cause metabolic alkalosis with normal urine chloride and normal blood pressure
hypomagnesemia
________ may cause metabolic alkalosis with normal urine chloride and normal blood pressure
hypokalemia
________ may cause metabolic alkalosis with normal urine chloride and normal blood pressure
Bartter's syndrome
________ may cause metabolic alkalosis with normal urine chloride and normal blood pressure
licorice ingestion
in acute respiratory acidosis, for every pCO2 increase of 10, serum bicarb increases by 1 and pH decreases by ____
0.08
in chronic respiratory acidosis, for every pCO2 increase of 10, serum bicarb increases by 3-4 and pH decreases by ____
0.03
cause of respiratory alkalosis
sepsis
cause of respiratory alkalosis
salicylates
cause of respiratory alkalosis
liver failure
cause of respiratory alkalosis
hyperthyroid
cause of respiratory alkalosis
pregnancy
cause of respiratory alkalosis
hypotension
cause of respiratory alkalosis
CHF
cause of respiratory alkalosis
respiratory center hyperfunction
cause of respiratory alkalosis
progesterone
progesterone is a respiratory __________
stimulant
cause of respiratory alkalosis
high altitude
cause of respiratory alkalosis
fever, pain, anxiety
cause of respiratory alkalosis
pulmonary embolus
cause of respiratory alkalosis
restrictive lung disease
cause of respiratory alkalosis
bronchospasm
cause of respiratory alkalosis
pneumonia
in acute respiratory alkalosis, for every pCO2 decrease of 10, serum bicarb decreases by ___
2
in chronic respiratory alkalosis, for every pCO2 decrease of 10, serum bicarb decreases by ___
5