PPT-Acidosis and alkalosis Acid-base disorders are very common clinical problems.

PH 735745 Acidemia is a pH lt735 and alkalemia is a pH gt745 Acidosis and alkalosis are used to describe how the pH changes The primary causes of acidbase disturbances are abnormalities in the respiratory system and in the metabolic or renal system. e NS 57533 NS D5W 2 liters of NS in 24 hours is enough to cause acidosis Renal Tubular Acidosis Calculate Urine Anion Gap Urine Na K Cl if negative not an RTA consider other causes 555 au to immune sicklers cirrhosis idiopathic Type 555 think myelo W. Rose. See . Marieb. & . Hoehn. 9. th. ed., Chapter 26 . Normal Arterial Blood Gas. pH = 7.35-7.45. P. a. CO. 2. = 35-45 . mmHg. HCO. 3. -. = 22-26 . mEq. /L. P. a. O. 2. = 80-100 . mmHg. Janis Rusin APN, MSN, CPNP-AC. Pediatric Nurse Practitioner. Lurie Children’s Transport Team. Objectives. Discuss the mechanisms for maintaining normal acid-base balance. Define respiratory and metabolic acidosis and alkalosis. Stable, positive and negative balance. Homeostasis = maintenance of stable balances. For any reversible reaction at equilibrium. Thus, changing the concentration of any reactant (A, B or AB) changes the concentration of all reactants. If (for example) A goes up, B must go down and AB must go up in order to keep that ratio from changing.. Prof. Tahir . Shafi. Why should we know about acid base disorders. What are acid base disorders. How to interpret acid base disorder. How to establish the cause. Why to worry about acid base disorders. Fall 2013. Acid Base Balance. Hydrogen ions - . Low concentrations but highly reactive. Concentration affects physiological functions . Alters protein and enzyme functioning. Can cause cardiac, renal, pulmonary abnormalities. ABGs,. CVADs. Zoya. . Minasyan. , RN, MSN-. Edu. Purpose. Maintain a balance between acids and bases to achieve homeostasis: State of equilibrium. Health problems lead to imbalance. Diabetes mellitus. Diagnosis of acid base balance in diarrhoeic calves. Implementation in practice Dai Grove-White A historical perspective William O ’ Shaughnessy 1831 “I would expect much benefit from the frequently repeated use of the neutral salts by the mouth dissolved in large quantities of tepid water. In severe cases, in which Alok Agrawal, MD, FASN, FNKF. Clinical Associate Professor. WSU, Dayton, Ohio. Arterial Blood Gas. ABG’s - necessary to correctly diagnose AB disorders. Interpret ABG s in conjunction with history, PE and labs. Acid and Base . Containing . Food:. 2. To . maintain health, . the diet should consist . of 60% alkaline . forming . foods and 40% acid . forming. foods. . To . restore health, the diet . should consist . Abdullah Alsakka . EM.Consutant. . . . Objectives . To provide a simple, systematic approach to interpreting arterial blood gas (ABG) samples. . Multiple formulas and rules exist to help guide us through the forest of diagnoses and complex problems. . . . Asst. Prof. Dr. Dalya Basil. Disorders of Acid-Base Balance. There are two types of acid-base disorders: . Acid-Base Disorders. Acid-base homeostasis. Henderson-Hasellbach formula. Normal lab values. pH = 7,36 - 7,44. HCO. 3. = 24 mEq/L (22-30). pCO. 2. = 40 mmHg (36-40). AG = 12 mEq/L (. 10-14. ). Osmolar. Many critical illnesses can disturb acid-base balance.. Acid-base disturbances may indicate an underlying disease or organ damage.. Accurate interpretation of acid-base disturbances requires the following:.