PaCO2 norm range
35-45mmHg
HCO3 norm range
22-26 mmHg
pH 7.2
paCO2 60 mm/Hg
HCOs 24 mL/Eq
Acute Respiratory Acidosis (Uncompensated):
causes and s/s metabolic alkalosis
cause too much antacid, volume loss
acid loss or HCO3 gain
s/s: high HR, weakness, lethargy, dysrhythmia, muscle twitch, hypoventilation
causes and s/s metabolic acidosis
cause: DKA, kidney failure, diarrhea, liver failure
acid gain or HCO3 loss
s/s: low BP, high HR, GI upset, arrhythmia, Kussmal breathing
causes and s/s respiratory alkalosis
cause: hyperventilation, pain, shock
s/s: SOB, dizzy
causes and s/s respiratory acidosis
labs might see
cause: hypoventilation, asthma, COPD, pna, PE, pneumothorax, benzo/opioid
s/s: confusion, headache, polycythemia(low platelet, high rbc)
which ion maintains osmotic pressure in ECF
Na
which ion maintains osmotic pressure in ICF
K
(capillary) hydrostatic pressure
mechanical force pushing against cell membrane (25-35mmHg)
increased capillary hydrostatic would do what
push excess fluid from capillaries into ECF
oncotic pressure
pulling forces exerted by protein in plasma that pulls fluid from interstitial space into blood
low oncotic pressure
2 dx:
caused by low protein-cannot pull fluid into cell so fluid stays in ECF
ex: alcoholism, starvation
ADH is made where? stored where?
triggered by?
made: hypothalamus
stored: posterior pituitary
hypovolumia, low BP
where is aldosterone made? what does it do?
what triggers its release?
made: adrenal cortex
controls Na levels
aldosterone triggered by high potassium, low BP and low Na
normal PaCO2 range
35-45mmHg
normal HCO3 range
22-26mL/Eq
pH 7.36
paCO2 60 mm/Hg
HCOs 33 mL/Eq
respiratory acidosis with metabolic compensation
pH 7.5
paCO2 28 mm/Hg
HCOs 24 mL/Eq
respiratory alkalosis without compensation
pH 7.46
paCO2 25 mm/Hg
HCOs 18 mL/Eq
respiratory alkalosis with compensation
pH 7.2
paCO2 36 mm/Hg
HCOs 20 mL/Eq
metabolic acidosis without compensation
pH 7.36
paCO2 33 mm/Hg
HCOs 17 mL/Eq
metabolic acidosis with respiratory compensation
pH 7.44
paCO2 46 mm/Hg
HCOs 42 mL/Eq
metabolic alkalosis with respiratory compensation
pH 7.52
paCO2 40 mm/Hg
HCOs 32 mL/Eq
metabolic alkalosis without compensation