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Imagine you are onboarding the new graduate nurses to your unit (ICU). How would you respond to the following 5 questions asked by your orientee?
Which is not a cause of metabolic acidosis?
Diarrhea
Diuretics
Kidney failure
Vomiting
Vomiting
Why does knowing what causes acid-base imbalances and what is happening in the body important?
A. To guide treatment and prevention efforts
B. To educate families on their risk of inheriting these disorders
A. To guide treatment and prevention efforts
Which are treatments for respiratory acidosis? Select all that apply.
Reversing sedative medication
Intubation or BiPAP
Diuresis
Sodium bicarbonate tablets
Hydration
- Reversing sedative medication
- Intubation or BiPAP
- Hydration
Which type of oxygen mask may be indicated for the patient in respiratory alkalosis?
Venturi mask
Nasal cannula
Non-rebreather mask
Non-rebreather mask
Which are signs of metabolic alkalosis?
Chvostek sign
Hyperkalemia
Cullen sign
Hypernatremia
- Chvostek sign
Signs of hypocalcemia, including Chvostek and Trousseau signs, may appear with metabolic alkalosis.
What does a pH of 7.48, a CO2 of 32 mmHg, and an HCO3 of 22 mEq/L indicate?
Respiratory alkalosis
Respiratory acidosis
Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis
What does a pH of 7.25, a CO2 of 56 mmHg, and an HCO3 of 24 mEq/L indicate?
Respiratory alkalosis
Respiratory acidosis
Metabolic alkalosis
Metabolic acidosis
Respiratory acidosis
What does a pH of 7.14, a CO2 of 36 mmHg, and an HCO3 of 9 mEq/L indicate?
Respiratory alkalosis
Respiratory acidosis
Metabolic alkalosis
Metabolic acidosis
Metabolic acidosis
What does a pH of 7.17, a CO2 of 75 mmHg, and an HCO3 of 26 mEq/L indicate?
Respiratory alkalosis
Respiratory acidosis
Metabolic alkalosis
Metabolic acidosis
Respiratory acidosis
What does a pH of 7.50, a CO2 of 41 mmHg, and an HCO3 of 42 mEq/L indicate?
Respiratory alkalosis
Respiratory acidosis
Metabolic alkalosis
Metabolic acidosis
Metabolic alkalosis