chapter 48 quiz 2 Analytic Tools in Acid-Base Chemistry Blood Gas Analysis

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Questions and Answers

What does blood gas (ABG) analysis provide immediate information on?

  • Patient's neurological system
  • Patient's cardiovascular system
  • Patient's respiratory system (correct)
  • Patient's digestive system

Which of the following measurements augments the diagnostic sensitivity of blood gas analysis?

  • Blood pressure
  • Urine output
  • Blood glucose and lactate (correct)
  • Body temperature

Which approach utilizes the interrelationship between PaCO2 and [HCO3−] to detect and diagnose acid-base abnormalities?

  • Qualitative approach
  • Quantitative approach
  • Descriptive approach (correct)
  • Semi-quantitative approach

Which concept is included in the semi-quantitative approach in acid-base balance?

<p>Buffer base (BB) concept (D)</p> Signup and view all the answers

Which approach is likely to dominate the clinical approach to acid-base chemistry over time?

<p>Quantitative approach (A)</p> Signup and view all the answers

which one is the simple AG equation

<p>([Na + ] − [Cl − ] + [HCO − ]) (A)</p> Signup and view all the answers

Which gap variant takes into account potassium and lactate among other ions?

<p>Anion gap (modern) (D)</p> Signup and view all the answers

What does a delta ratio greater than 2 indicate?

<p>Mixed acid-base abnormalities (D)</p> Signup and view all the answers

What is the primary cause of an acidosis when the anion gap widens to over 20 mEq/L?

<p>Renal acids or ketones (D)</p> Signup and view all the answers

In the context of metabolic acidosis, what does the delta ratio of less than 0.4 indicate?

<p>Presence of hyperchloremic acidosis (A)</p> Signup and view all the answers

Which tool accurately quantifies metabolic acidosis by compensating for hypoalbuminemia?

<p>Corrected anion gap (C)</p> Signup and view all the answers

What is the significant limitation associated with the anion gap?

<p>Underestimates metabolic disturbance (A)</p> Signup and view all the answers

'The sum of the difference in charge of the common extracellular ions reveals an unaccounted for 'gap' of -10 to -12 mEq/L.' This unaccounted gap is mainly caused by which components?

<p><em>Weak acids like phosphate and albumin</em> (D)</p> Signup and view all the answers

In acute respiratory acidosis, how much does [HCO3−] increase for every 10 mm Hg elevation in PaCO2 above 40 mm Hg?

<p>1 mEq/L (B)</p> Signup and view all the answers

What is the formula to determine the expected PaCO2 in acute metabolic acidosis using the [HCO3−] value?

<p>$1.5 \times [HCO3^-] + 8$ (A)</p> Signup and view all the answers

What does an increase in [HCO3−] concentration in chronic hypoventilation actually reflect?

<p>Increased total CO2 in the body (D)</p> Signup and view all the answers

Which of the following is a potential pitfall of the PCO2-HCO3− approach?

<p>Requires mental arithmetic and learning formulas (B)</p> Signup and view all the answers

What happens to PaCO2 in metabolic alkalosis as a result of hypoventilation?

<p>It falls predictably (C)</p> Signup and view all the answers

What happens to PaCO2 for every 1 mEq/L reduction in base excess according to Winters' BE approach?

<p>It decreases by 1 mm Hg (C)</p> Signup and view all the answers

What is the expected PaCO2 value if a patient has a [HCO3−] level of 28 mmol/L according to the metabolic alkalosis formula?

<p>32.6 mm Hg (B)</p> Signup and view all the answers

In chronic respiratory acidosis, how much does [HCO3−] increase for every 10 mm Hg elevation in PaCO2 above 40 mm Hg?

<p>3 mEq/L (C)</p> Signup and view all the answers

what is the DELTA RATIO of Hyperchloremic normal AG acidosis?

<p>DR less Than 0.4 (C)</p> Signup and view all the answers

what is the DELTA RATIO of less than 1 reflect?

<p>High AG and normal AG acidosis (B)</p> Signup and view all the answers

what is the average DR of lactic acidosis

<p>1.6 (A)</p> Signup and view all the answers

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