Acid-Base Imbalances Test
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| A. ECFB. Too much IV fluids, heart failure, renal failure, hypersecretion of aldosterone.C. confusion, dizziness, tetany, muscle cramps, dysrhythmias.D. It stays the same.E. Sodium level 120-125: nausea, malaise, 115-120, headache, lethargy, 110-115, seizures, comaF. Confusion, dizziness, numbness, and tetany (due to hypocalcemia)G. Full, bounding pulse, galloping heart rate, tachycardia, pulmonary edema,H. Least common. Caused by loss of H+ ions, ingestion of alkaline substances (very hard to do), or loss of fluids low in bicarb, such as vomiting, GI suction.I. Flattened T-wave, presence of U waveJ. Warm, flushed skin, CNS symptoms such as confusion, lethargy, disorientation, headache, ventricular dysrhythmias.K. Thirst, dry, sticy mucous membranes, fever, twitching, tremor, etc.L. Hemorrhage, GI losses, burns, fever, 3rd space fluid shifts.M. Tall, tented T wave.N. Hypocalcemic, because as pH goes up, more Ca ions become protein bound, and are not available.O. Potassium-sparing diuretics, metabolic acidosis, renal failure, crush injuriesP. Cool, clammy skin, tachycardia, thready pulse, thirst, dry skin.Q. Warm, flushed skin, rapid deep respirations (Kussmaul), confusion, lethargy, headache. vemtricular dysrhythmias.R. Hypoventilation: patient is not blowing off enough CO2. Caused by anything that causes depressed respirations, such as drugs, neurological damage or disease.S. Potassium-wasting diuretics, vomiting or NG suction, burnsT. Hyperventilation: classic case is an anxious person breathing rapidly, and blowing off all their CO2, thus become alkalotic. |
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