Acid Base
As the ph goes the patient goes and except for potassium
pH goes up potassium goes down
pH goes down potassium goes up
pH up(alkalosis)… Hyper, tachy, increased, elevated, exaggerated,
increasing, excessiv
...
Acid Base
As the ph goes the patient goes and except for potassium
pH goes up potassium goes down
pH goes down potassium goes up
pH up(alkalosis)… Hyper, tachy, increased, elevated, exaggerated,
increasing, excessive. Irritability, diarrhea, borborygmi= increased bowel
sounds.
pH down(acidosis)… hypo, decreased, scant, absent, a-, brady, depressed,
suppressed, oligo,
Pt has acidosis what heart rhythm would you see- second degreeheart block
Tetany- muscle spasms, hyper muscles, hyper hyper contractility
Cardiac arrest- slow down
MAC-Kussmal
Kussmal only occurs in Metabolic ACidosis
Causes of acid base imbalances:
Ask yourself is it Lung? If it does= respiratory
Is the client overventilating or under??
If they are over---Alkalosis…
If under—acidosis.
Too much PCA pump what acid base can result… depress
respirations, underventilation… respiratory ACIDOSIS.
Near drowning—Respiratory acidosis
Acute panic anxiety- Respiratory alkalosis
If it isn’t lung its metabolic.If client has PROLONGED gastric vomiting or suctioning—METABOLIC
ALKALOSIS
For everything else that isn’t lung pic metabolic acidosis that doesn’t have to
do with suctioning or vomiting
Metabolic Acidosis if we don’t know what to pick!
Respiratory rate is highly unreliable use your gases, lung sounds and
saturation!!!
VentilatorHigh pressure alarm= increased resistance to airflow. High pressure to push
through so look for OBSTRUCTION!!! 3 obstructions, DO IN THIS ORDER!!
Least invasive to most!
1- Kink. - UNKINK
2- Water condensing in tubing. GET WATER OUT
3- Mucous. Suction is not best answer… TURN COUGH AND DEEP
BREATHE. If that doesn’t work SUCTION!
Low pressure alarm!
Due to DISCONNECTIONS!
1. Main tube disconnected-
2. Oxygen Sensor line! Plug back i
[Show More]