Acid Base Balance

pH Up, HCO3 Up

Metabolic Alkalosis

pH Down, HCO3 Down

Metabolic Acidosis

Both pH and HCO3 different directions

Respiratory Imbalance

Metabolic Acidosis has:

Kussmaul’s Respirations, MAC Kussmaul

Underventilating

Respiratory Acidois, UNDER pH 7.35

Overventilating

Respiratory Alkalosis, OVER pH 7.45

Metabolic Alkalosis only in:

• Suctioning

• Emesis

S&S of Acidosis

• pH DOWN

• Everything DOWN

• Bradycardia, Constipation, Lethargy, etc.

• EXCEPT POTASSIUM GOES UP

S&S of Alkalosis

• pH UP

• Everything UP

• Tachycardia, Diarrhea, Irritability, etc.

• EXCEPT POTASSIUM GOES DOWN