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Indentify a patients :
Oxygenation
Adequacy of gas exchange in the lungs
Acid-base status
Bodys ability to regulate pH
Underlying cause of the imbalance
pH
PaCO2
PaO2
Partial pressure of oxygen in arterial blood.
PaO2 less than 60 leads to anaerobic
metabolism, resulting in lactic acid
production and metabolic acidosis.
Oxygen Saturation
Base Excess
Amount of blood buffer that exists
(hemoglobin and bicarbonate)
High Value (Alkalosis)
Low Value (Acidosis)
Bicarbonate
Major renal component of acid-base balance
Kidneys excrete and retain bicarb to
maintain a normal acid-base environment.
4 possible Acid-Base
Imbalances
Respiratory Acidosis: CO2 is high and pH is
low
Respiratory Alkalosis: CO2 is low and pH is
high
Metabolic Acidosis: HCO3 is low and pH is
low
Metabolic Alkalosis: HCO3 is high and pH is
high
HINT
Respiratory
Opposite
Metabolic
Equal
Practice 1
pH : 7.20
CO2: 52
pO2: 66
O2 sat..: 89%
HCO3: 24
Step by Step!
Practice 2
pH: 7.58
CO2: 39
pO2: 81
O2 sat: 93%
HCO3: 31
Step by Step!
Causes of Respiratory
Acidosis
Hypoventilation
CNS depression
Trauma
COPD
Acute airway obstruction
Clinical manifestations of
Respiratory Acidosis
Drowsiness, disorientation, dizziness,
headache
Low BP
Hypoventilation with hypoxia
Causes of Respiratory
Alkalosis
Anxiety, fear
Pain
Fever
Stimulants
Excessive ventilatory support
Clinical Manifestations of
Respiratory Alkalosis
Lethargy, light-headedness, confusion
Tachycardia
Hyperventilation
Causes of Metabolic
Acidosis
DKA
Renal Failure
Lactic Acidosis
Drug overdose
Diarrhea
Clinical manifestations of
Metabolic Acidosis
Low BP
Warm, flushed skin
Nausea, vomiting
Deep, rapid respirations
Causes of Metabolic
Alkalosis
Excess ingestion of antacids
Excess administration of sodium
bicarbonate
Vomiting
Nasogastric Suctioning
Clinical Manifestations of
Metabolic Alkalosis
Dizziness, irritability, nervousness,
confusion
Tachycardia
Muscle cramps
Questions?