HCT Med-Surg Acid/Base imbalance
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show | 7.35 - 7.45
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Intracellular fluid | show 🗑
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show | 35% (9% intravascular, 26% interstitial)
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Normal Na range | show 🗑
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Hyponatremia | show 🗑
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show | >145 mEq/L
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show | 3.5 - 5.0 mEq/L
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Hypokalemia | show 🗑
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show | >5.0 mEq/L
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Normal serum Ca (calcium) | show 🗑
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Normal total Ca (calcium) | show 🗑
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show | 50/50
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show | protein
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Hypocalcemia | show 🗑
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show | >10.5 mg/dL (total) >5.6 mEq/L (serum)
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Ca requires | show 🗑
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Ca plays a role in | show 🗑
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Na regulates | show 🗑
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K is major electrolyte in | show 🗑
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Na is major electrolyte in | show 🗑
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show | conduction of nerve impulses & helps maintain neuromuscular activity
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Mg+ (magnesium) normal range | show 🗑
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Hypomagnesemia | show 🗑
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Hypermagnesemia | show 🗑
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PO4 (phosphate) normal range | show 🗑
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show | <1.7 mEq/L (most commonly respitory alkalosis, intense prolonged hyperventilation)
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Hyperphosphatemia | show 🗑
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Cl (chloride) normal range | show 🗑
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show | <95 mEq/L (most commonly vomiting, gastric suction, gastric surg)
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show | >106 mEq/L (dehydration)
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show | attempt to maintain normal pH range.
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show | diffusion of water higher to lower concentration
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show | dissolved substances forced through cell membranes by hydrostatic pressure
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Diffusion | show 🗑
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show | cells swell
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hypertonic solution | show 🗑
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show | cells do not change
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show | insensible 300 - 400 mL/day same as lungs
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Total fluid loss/day | show 🗑
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Lung fluid loss | show 🗑
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GI tract | show 🗑
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Kidney fluid loss | show 🗑
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show | in maintaining fluid balance
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ADH (antidiuretic hormone) | show 🗑
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Aldosterone | show 🗑
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PCO2 or PaCO2 | show 🗑
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show | bicarbonate
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show | 35 - 45 mmHg at sea level
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Respitory acidosis | show 🗑
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show | increased blood pH, decreased CO2
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Metabolic acidosis | show 🗑
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show | increased blood pH, HCO3 & CO2
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show | thirst
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Normal HCO3 (bicarbonate) | show 🗑
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show | 5-25 mg/dL
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show | 0.5 - 1.5 mg/dL
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show | 6.0 - 8.0 g/dL
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Normal albumin | show 🗑
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Blood < 7.35 | show 🗑
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show | alkalosis
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PCO2 > 45 | show 🗑
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show | respiratory alkalosis
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show | metabolic alkalosis
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show | metabolic acidosis
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show | Resp. acidosis
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show | Resp. acidosis
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show | Resp. acidosis
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show | Resp. acidosis
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Resp. acidosis | show 🗑
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show | Resp. alkalosis
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Hypoxia | show 🗑
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show | Resp. alkalosis
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show | Resp. alkalosis
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Diabetic Ketoacidosis | show 🗑
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show | Metabolic acidosis
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show | Metabolic acidosis
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show | Metabolic acidosis
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Shock | show 🗑
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show | Metabolic alkalosis
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Excessive NG suctioning | show 🗑
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show | Metabolic alkalosis
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show | increased heart rate, hypotension, atrial tachcardia, dizziness, respiratory failure, irrability, confusion, tetany, muscle cramps, seizures
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show | Hypotension, cold clammy skin, dysrhythmias, kussmaul's , drowsiness, h/a, confusion, N&V
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Resp. alkalosis | show 🗑
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