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Questions and Answers
A patient's ABG results are: pH 7.30, PaCO2 50 mmHg, HCO3 24 mEq/L. What is the correct interpretation?
A patient's ABG results are: pH 7.30, PaCO2 50 mmHg, HCO3 24 mEq/L. What is the correct interpretation?
- Metabolic acidosis
- Respiratory acidosis (correct)
- Metabolic alkalosis
- Respiratory alkalosis
Which ABG result is consistent with metabolic alkalosis?
Which ABG result is consistent with metabolic alkalosis?
- pH 7.50, PaCO2 30 mmHg, HCO3 22 mEq/L
- pH 7.28, PaCO2 38 mmHg, HCO3 18 mEq/L
- pH 7.48, PaCO2 40 mmHg, HCO3 30 mEq/L (correct)
- pH 7.32, PaCO2 50 mmHg, HCO3 24 mEq/L
A nurse is caring for a patient with prolonged vomiting. What ABG imbalance is most likely?
A nurse is caring for a patient with prolonged vomiting. What ABG imbalance is most likely?
- Metabolic alkalosis (correct)
- Metabolic acidosis
- Respiratory acidosis
- Respiratory alkalosis
A patient's ABG results show: pH 7.28, PaCO2 38 mmHg, HCO3 18 mEq/L. What is the interpretation?
A patient's ABG results show: pH 7.28, PaCO2 38 mmHg, HCO3 18 mEq/L. What is the interpretation?
Which condition is most likely to cause respiratory alkalosis?
Which condition is most likely to cause respiratory alkalosis?
A patient with diabetic ketoacidosis (DKA) is most likely to have which ABG imbalance?
A patient with diabetic ketoacidosis (DKA) is most likely to have which ABG imbalance?
A patient with chronic obstructive pulmonary disease (COPD) is at risk for which acid-base imbalance?
A patient with chronic obstructive pulmonary disease (COPD) is at risk for which acid-base imbalance?
A patient's ABG shows: pH 7.50, PaCO2 30 mmHg, HCO3 24 mEq/L. What is the interpretation?
A patient's ABG shows: pH 7.50, PaCO2 30 mmHg, HCO3 24 mEq/L. What is the interpretation?
What compensatory mechanism occurs in metabolic acidosis?
What compensatory mechanism occurs in metabolic acidosis?
Which ABG finding suggests fully compensated metabolic acidosis?
Which ABG finding suggests fully compensated metabolic acidosis?
Flashcards
Respiratory Acidosis
Respiratory Acidosis
Low pH, high PaCO2, and normal HCO3, indicating a respiratory cause of acidosis.
Metabolic Alkalosis
Metabolic Alkalosis
High pH and high HCO3 indicate a metabolic cause of alkalosis, with normal PaCO2 showing no respiratory involvement.
Vomiting and ABG imbalance
Vomiting and ABG imbalance
An acid-base imbalance often caused by loss of stomach acid (HCl), leading to increased bicarbonate levels.
Metabolic Acidosis
Metabolic Acidosis
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Anxiety-Induced Hyperventilation
Anxiety-Induced Hyperventilation
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Diabetic Ketoacidosis (DKA)
Diabetic Ketoacidosis (DKA)
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COPD and Acid-Base Imbalance
COPD and Acid-Base Imbalance
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Respiratory Alkalosis
Respiratory Alkalosis
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Compensatory Mechanism in Metabolic Acidosis
Compensatory Mechanism in Metabolic Acidosis
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Fully Compensated Metabolic Acidosis
Fully Compensated Metabolic Acidosis
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Study Notes
- ABG interpretation involves analyzing pH, PaCO2, and HCO3 values to determine acid-base imbalances
Respiratory Acidosis
- Low pH, high PaCO2, and normal HCO3 indicate respiratory acidosis
- COPD can lead to impaired CO2 excretion, resulting in CO2 retention and respiratory acidosis
Metabolic Alkalosis
- High pH and high HCO3 suggest metabolic alkalosis with normal PaCO2 levels
- Prolonged vomiting can cause metabolic alkalosis due to the loss of stomach acid (HCl), increasing bicarbonate levels
Metabolic Acidosis
- Low pH and low HCO3 indicate metabolic acidosis, with normal PaCO2 to rule out respiratory issues
- DKA produces excess ketones, lowering pH and bicarbonate levels, which can results in metabolic acidosis
Respiratory Alkalosis
- High pH and low PaCO2 indicate respiratory alkalosis with normal HCO3 levels
- Hyperventilation leads to excessive CO2 loss, raising pH and causing respiratory alkalosis
- Anxiety-induced hyperventilation is a common cause of respiratory alkalosis
Compensation
- The lungs compensate for metabolic acidosis by increasing respiration to remove excess CO2 (hyperventilation)
- In fully compensated metabolic acidosis, the pH is within normal limits, HCO3 is low (indicating metabolic acidosis), and PaCO2 is low (indicating respiratory compensation)
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