 |
|
|
 |
|
 |
|
 |
|
Metabolic Acidosis
Clinical Manifestations
- hyperkalemia: shift of acid to ICF and K+ to the ECF
- anorexia, nausea, and vomiting
- warm, flushed skin
- cardiac dysrhythmias & CNS dysfunction
- headache, diarrhea, tremors
Metabolic Alkalosis
Clinical Manifestations
- cardia dysrhythmias; seizures; confusion; muscle twitching, agitation
- >pH;>HC03; normal PaCo2 or elevated if compensation occurs
Respiratory Acidosis
Clinical Manifestations
- > PaCo2; HCO3 is normal or > with renal compensation
- vasodilatation; cardiac dysrhythmias, tachycardia, somnolence, decreased ventilation
Respiratory Alkalosis
Clinical Manifestations
- > pH; < PaC02; HCO3 normal or low due to compensation
- nausea, vomiting, tingling of fingers
|
|
 |
|
 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Step One: Determine the acid/base status of the arterial blood. Keep in mind
what is Normal
If the blood's pH is less than 7.35 this is an acidosis, and if it is greater than 7.45 this is an alkalosis.
You may hear nurses or doctors say: "The patient is 'acidotic' or 'alkalotic'
Next Page
|
|
|
|
