Fluid 4

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Author:
jld15
ID:
303487
Filename:
Fluid 4
Updated:
2015-05-31 21:17:11
Tags:
Fluid
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Description:
Fluid 4
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  1. Respiratory Acidosis cause
    hypoventilation (not breathing enough) and subsequent CO2 retention
  2. Who has respiratory acidosis
    • COPD
    • Impairments of the diaphragm
    • ----stroke
    • Burns
    • ----Airway may be swollen
    • ----Hurts to breathe
    • CNS lesions
  3. Signs and symptoms Respiratory acidosis
    • Confusion
    • Restlessness
    • Apprehension
    • Tremor
  4. Respiratory Alkalosis
    • Caused by hyperventilation
    • Pulmonary causes versus non-pulmonary causes
  5. Pulmonary respiratory alkalosis
    Pulmonary embolus, pneumonia
  6. Non-pulmonary respiratory alkalosis
    Anxiety, pain, cardiac problem
  7. Signs and symptoms Resipratory alkalosis
    • Rapid breathing
    • Dizziness, lightheadedness
    • Inability to concentrate
    • Tingling and numbness of the extremities
    • Muscle weakness
    • ----All based on CO2
  8. 60 y.o. female with resp. failure post treatment for pancreatic cancer; PMH includes anxiety
    • Experienced anxiety attack
    • ABGs: 7.668/28.1/100.0/32.2
    • (alkalosis)
  9. Metabolic Acidosis
    • Accumulation of acids or a deficit of bases
    • ----Diabetic ketoacidosis
    • --------Too much acid
    • ----Renal failure
    • --------Too much acid
    • ----Diarrhea
    • --------Too much bicarbonate loss
  10. Signs and symptoms metabolic acidosis
    • Muscular twitching, weakness, nausea/vomiting
    • Compensatory hyperventilation
  11. Metabolic Alkalosis
    • Abnormal loss of acid or excess accumulation of bicarbonate
    • Associated with hypokalemia
  12. Signs and symptoms metabolic alkalosis
    • Compensatory hypoventilation
    • Muscle weakness
    • Confusion
    • Irritability
  13. Rules for looking at ABGs :
    • pH first
    • ----Determine if acute situation or if dealing with long time
    • pCO2 next
    • HCO3- next
  14. Compensation:
    • If pH normal= compensated
    • ----Even if CO2 is high
    • If pH closer to normal= partially compensated
    • If pH abnormal= uncompensated
    • Look at co2 to see if compensated

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