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</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</p> Signup and view all the answers

    which one is the simple AG equation

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

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

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

    What does a delta ratio greater than 2 indicate?

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

    Which tool accurately quantifies metabolic acidosis by compensating for hypoalbuminemia?

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

    What is the significant limitation associated with the anion gap?

    <p>Underestimates metabolic disturbance</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></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</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>$1.5 \times [HCO3^-] + 8$</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</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</p> Signup and view all the answers

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

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

    what is the DELTA RATIO of Hyperchloremic normal AG acidosis?

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

    what is the DELTA RATIO of less than 1 reflect?

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

    what is the average DR of lactic acidosis

    <p>1.6</p> Signup and view all the answers

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