Causes of Metabolic Acidosis
Lactic Acidosis DKA Renal failure Diarrhea, ileostomy drainage Biliary or pancreatic fistula NaCl IV solutions
S/S Metabolic Acidosis
Weakness, fatigue, general malaise Diminished appetite, N/V Warm, flushed skin Deep, rapid respirations SOB, dyspnea
Causes of Metabolic Alkalosis
Vomiting, gastric suctioning
Hypokalemia
Alkali ingestion
Excess bicarbonate administration
S/S Metabolic Alkalosis
Numbness & tingling around mouth, fingers, toes
Dizziness
Trousseau’s sign & muscle spasms
Causes of Respiratory Acidosis
Acute respiratory conditions (i.e. pulmonary edema, acute asthma) Opiate OD Foreign body aspiration Chest trauma COPD Multiple sclerosis Stroke
S/S Acute Respiratory Acidosis
Headache, blurred vision Irritability Mental cloudiness Tachycardia Warm, flushed skin
S/S Chronic Respiratory Acidosis
Weakness
Dull headache
Causes of Respiratory Alkalosis
Anxiety
Fever
Hyperventilation with mechanical ventilation
S/S of Respiratory Alkalosis
Light headedness Numbness or tingling Sweaty palms Panic, tachycardia, palpitations Positive Chvostek's sign (face) & Trousseau's sign (hand & forearm)