Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Metabolic Acidosis
Metabolic Acidosis;
| Question | Answer |
|---|---|
| Metabolic acidosis is generally caused by | overproduction/underelimination of hydrogen or overelimination/underproduction of bicarbonate |
| Overproduction of hydrogen includes | excessive breakdown of fatty acids, lactic acidosis, and excessive intake of acids |
| Fatty acid breakdown | occurs in starvation and diabetic ketoacidosis |
| Lactic acidosis | anerobic glucose breakdown, occurs in heavy exercise, seizures, and reduced oxygen intake |
| Underelimination of hydrogen includes | Kidney and respiratory failure |
| Overelimination of bicarbonate includes | Bicarbonates are excreted too quickly, as in diarrhea |
| Underproductoin of bicarbonate includes | Kidney and pancreatic failure |
| Other underlying causes of metabolic acidosis | hyperthyroidism, infection, burns, circulatory shock, tissue anoxia, oliguric, renal failure, intake of acids (aspirin), GI fistual drainage, GI and pancreatic secretions, intestinal decompression, renal tubular acidosis, DM, sepsis, and anorexia |
| Metabolic acidosis cardiovascular s/s | inc HR or cardiac output, signs of hyperkalemia includes dec HR, T waves peaked, QRS complex widened, hypotension, thready pulse |
| Metabolic acidosis CNS s/s | depressed or unresponsive |
| Metabolic acidosis neruomuscular s/s | hyporeflexia, skeletal muscle weakness, flaccid paralysis |
| Metabolic acidosis respiratory s/s | kussmaul (deep, rapid, involuntary) respirations, varied respirations |
| Metabolic acidosis integumentary s/s | warm, flushed, dry skin |
| What is one of the first signs of acidosis? | Behavioral changes |
| Hypokalemia in metabolic acidosis | weak pulse, depressed U waves, shallow respirations and SOB |
| What should be done for metabolic acidic pt with hypokalemia? | verify renal function before administration of K, do not give K too rapidly, dilute K, give with orange, grape, tomato or apple juice--Vitamin C/ascorbic acid helps K absorption |
| Other disorders that appear with metabolic acidosis | DM, hypovalemia, renal failure, lactic acidosis, addison's dz. |
| Care for diabetes mellitus in metabolic acidosis | admin insulin when hyperglycemic, admin glucose with hypoglycemic, insulin can help in uptake of K |
| Care for hypovalemia in metabolic acidosis | volume expander, blood transfusions, monitor and treat shock |
| Care for renal failure in metabolic acidosis | Dialysis, transplant, dietary modifications (control of protein, Na, fluid, supplemental calories and carbs needed) |
| Lactic acidosis | Oxygen and NaHCO3 (sodium bicarbonate) |
| Addison's D. | cortisone preperations, high sodium diet, fluids for shock |
Created by:
kalensnyder
Popular Nursing sets