Nursing: Acid Base Word Scramble
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| Question | Answer |
| Hypokalemia | < 3.5, Vomiting, diarrhea, diuretics, alkalosis, Irreg fast heart rate then slow, dysrhythmia, po K |
| Hyperkalemia | > 5.0 Renal failure, Shift out of cells Slow weak pulse, bradycardia->heart block, cramps, twitching, tremors, paralysis Diuretics Insulin, hypertonic dextrose w/ Na bicarb |
| Hypercalcemia: | ↓ CO <4.3 , affects neuromuscular membranes, ↓ heart contractility -> Lack sunlight, loop diuretics, neck surgery Torsades de pointes, (potential fatal arrhythmia) spasms, hyperreflexia, twitching, laryngo-spasm due to tetany (would see stri |
| Hyponatremia : | <135, water drawn into cells d/t serum hypoosmolality -> cellular swelling, Water drawn into cells; Sweating, diarrhea, excess IV fluids, diabetes, altered thirst, altered renal failure, excessive hypotonic fluids Anorexia, N/V, abd cramping, seizures, c |
| Hypernatremia: | >145, Water drawn out of cells due to serum hyperosmolality -> cellular dehydration, water deprivation, burns, Thirst, ↑ temp, seizures, restlessness, altered LOC, seizures fluid & electrolyte mgmt |
| pO2 | 75-100 mmHg Partial pressure of O2 in blood |
| pCO2 | 35-45 mmHg Partial pressure CO2 in blood |
| O2 sat | 95-100% % hgb saturated w/ O2 |
| pH | 7.35-7.45 Acidity |
| Bicarb | 22-26 HCO3 amt bicarb in blood |
| Base excess/deficit | Deviation from regular bicarb levels |
| Respiratory Acidosis causes/Nsg intervention | pulm edema, asthma, trauma, Remove excess CO2, give O2 with caution Impaired gas exchange Ineffective airway clearance |
| Respiratory Alkalosis causes/Nsg intervention | hyperventilating, Breathe into paper bag |
| Metabolic Acidosis causes/Nsg intervention | diarrhea, Monitor ECG for dysrhythmia Risk for excess fluid volume |
| Metabolic Alkalosis causes/Nsg intervention | antacid overuse, O2, Energy mgmt Vitals/skin Fluid volume deficit |
| Magnesium | 1.3-2.1 mEq/L |
| Phosphorus | 1.7-2.6 mEq/L |
| Potassium (ICF) | 3.5-5.0 mEq/L |
| Calcium | 8.5-10 mEq/L |
| Sodium (ECF) | 135-145 mEq/L |
| Phos/Ca relationship | inverse, bind to eachother, too much of one causes too little of the other |
Created by:
sdcarlson
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