Hint: Anytime you have poor gas

exchange, think Respiratory

Acidosis
G. What would these cause?

Pneumothorax R. acid R. alk M. acid M. alk

Alka Seltzer/Antacids R. acid R. alk M. acid M. alk

Panic Attack R. acid R. alk M. acid M. alk

Acid-Base Balance

NG to suction R. acid R. alk M. acid M. alk

Contusion to lung parenchyma R. acid R. alk M. acid M. alk

Client getting lots of IVP bicarb R. acid R. alk M. acid M. alk

Diarrhea R. acid R. alk M. acid M. alk

(Hint: Upper GI= acid, Lower GI= base)

Renal insufficiency* R. acid R. alk M. acid M. alk

(See factoid below)

Pneumonia R. acid R. alk M. acid M. alk

Broken ribs R. acid R. alk M. acid M. alk

Acute Aspirin® overdose R. acid R. alk M. acid M. alk

*Factoid*
Metabolic Acidosis= Hyperkalemia
In a state of acidosis, the body will attempt to “fix the problem” by moving
hydrogen into the cell. In exchange for hydrogen moving into the cell, potassium
moves out resulting in a higher amount of potassium in the blood.

Metabolic Alkalosis= Hypokalemia

In a state of alkalosis, the body will attempt to “fix the problem” by pulling
hydrogen out of the cell. In exchange for hydrogen moving out of the cell,
potassium moves into the cell resulting in a lower amount of potassium in the
blood.

18
Hurst Review Services