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Fluids, Electrolytes, and Acid-Base Physiology
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Increased potassium level in the blood
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Increased potassium level in the blood
Hyperkalemia
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Increased potassium level in the blood
Hyperkalemia
Decreased potassium level in the blood
Hypokalemia
Increased sodium level in the blood
Hypernatremia
Decreased sodium level in the blood
Hyponatremia
Increased magnesium level in the blood
Hypermagnesemia
Decreased phosphate level in the blood
Hypophosphatemia
Phosphate homeostasis is closely associated with which other homeostasis?
Calcium
homeostasis
Major extracellular cation
Sodium
Major extracellular anion
Chloride
Major intracellular cation
Potassium
Ion accounting for most osmolarity of ECF and biggest impact on blood pressure
Sodium
ion
Direction of water movement in osmosis when more solute particles are added to one side
Water moves
toward the side with more solute particles
Effect of hypotonic solution infusion on red blood cells
Cells
expand
due to water moving into them
Effect of hypertonic solution infusion on red blood cells
Cells
shrink
due to water moving out
Effect of isotonic solution infusion on red blood cells
Cells show
no change
in size
Equation showing CO2 and H2O relationship with bicarbonate and hydrogen ions
\(\mathrm{CO_2} + \mathrm{H_2O} \leftrightarrow \mathrm{H_2CO_3} \leftrightarrow \mathrm{H^+} + \mathrm{HCO_3^-}\)
Enzyme catalyzing the CO2 and H2O reaction to bicarbonate and hydrogen ions
Carbonic anhydrase
Primary organ compensating respiratory acid-base imbalance
Kidneys
Primary organ compensating metabolic acid-base imbalance
Lungs
pH = 7.32, PCO2 = 42 mm Hg, HCO3- = 20 mEq/L: primary imbalance and compensation
Metabolic acidosis with
no compensation
pH = 7.55, PCO2 = 21 mm Hg, HCO3- = 18 mEq/L: primary imbalance and compensation
Respiratory alkalosis with
partial compensation
pH = 7.26, PCO2 = 60 mm Hg, HCO3- = 26 mEq/L: primary imbalance and compensation
Respiratory acidosis with
no compensation
pH = 7.56, PCO2 = 52 mm Hg, HCO3- = 44 mEq/L: primary imbalance and compensation
Metabolic alkalosis with
partial compensation
pH = 7.53, PCO2 = 27 mm Hg, HCO3- = 22 mEq/L: primary imbalance and compensation
Respiratory alkalosis with
no compensation
pH = 7.27, PCO2 = 25 mm Hg, HCO3- = 11 mEq/L: primary imbalance and compensation
Metabolic acidosis with
partial compensation
pH = 7.47, PCO2 = 52 mm Hg, HCO3- = 37 mEq/L: primary imbalance and compensation
Metabolic alkalosis with
complete compensation
pH = 7.34, PCO2 = 65 mm Hg, HCO3- = 34 mEq/L: primary imbalance and compensation
Respiratory acidosis with
partial compensation
Does a patient with pH 7.37, PCO2 30 mm Hg, HCO3- 19 mEq/L have an acid-base imbalance?
False
, no acid-base imbalance present
Patient with pH 7.26 and hyperventilating: name the imbalance and role of hyperventilation
Respiratory alkalosis; hyperventilation is the
cause
Patient with pH 7.32 and hypoventilating: name the imbalance and role of hypoventilation
Respiratory acidosis; hypoventilation is the
cause