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Biochem Study Guide Review Notes
1.pH less than 7.35: Acidosis
2.pH greater than 7.45: Alkalosis
3.If Bicarb & pH arrows are in the same
direction If Opposite: Metabolic
Respiratory
4.As the pH goes down...so
does Except for: my patient
Potassium
5. Low pH=
High pH=: everything is low, K is high (lethargy 1+ reflex Dec HR)
everything is high, K is low (Irritable, 3+ reflex, Inc HR, Borrigmi-inc
bowel sounds)
6.Reflexes: 0-1 is
hypo 2 normal
3-4 high
7. Seizures=
Respiratory distress=: alkalosis-need suctioning @
bedside acidosis- need ambubag @ bedside
8.MAC KUSSMAL: kussmal respirations for metabolic acidosis
9. Causes of respiratory
If not respiratory, its:
Lungs Metabolic
10.Cause of alkalosis/acidosis: prolonged suction or vomiting (Metabolic
alkalo- sis)
overventilating-
alkalosis
underventilating-
acidosis
11.When you dont know what it is (ex: werid condition) or everything that
isnt lung, pick: metabolic acidosis
12.Always pay more attention to the modifying phrase than to the
original noun.:
13.High pressure ventilator alarms are triggered
by Look for
What to do: Inc resistance to air flow
Look for obstructions (kink, condensed H20, empty it, mucus plug)
14.Steps to take when adressing high pressure alarms: 1.)
unkink 2.) empty
