PPT-Respiratory Acidosis in COPD

Heide Thorne RN BSN March 2012 MSN 621 Mr G presents to the emergency room Mr G is a 64 year old barrelchested man who smokes 1 pack of cigarettes a day He is short of breath . e NS 57533 NS D5W 2 liters of NS in 24 hours is enough to cause acidosis Renal Tubular Acidosis Calculate Urine Anion Gap Urine Na K Cl if negative not an RTA consider other causes 555 au to immune sicklers cirrhosis idiopathic Type 555 think myelo Over time the airways of those suffering from COPD become permanently obstructed or blocked and gradually lose their ability to function COPD is a major cause of disability and death in Canada and throughout the world According to a recent study 15 W. Rose. See . Marieb. & . Hoehn. 9. th. ed., Chapter 26 . Normal Arterial Blood Gas. pH = 7.35-7.45. P. a. CO. 2. = 35-45 . mmHg. HCO. 3. -. = 22-26 . mEq. /L. P. a. O. 2. = 80-100 . mmHg. Introduction to hospital medicine:. Common respiratory admits. Learning objectives. Discuss common respiratory admits and their management. Pneumonia: community acquired . vs. HCAP . vs. aspiration pneumonia. Nick Leaver. 5. th. Year Medical Student. www.peermedics.com. Learning outcomes. To understand when to order an ABG. To understand the components of an ABG. To understand basic interpretation of ABGs. Community Healthcare. . Integrated . Paramedicine Project . Goal. Paramedics (and the EMT's assisting them) . Become home-health / public-health-minded clinicians. Perform home visits for those with chronic diseases . Objectives. Understand normal mechanisms and regulation of acid-base balance. Interpret blood gases. Understand the effects of acidosis and alkalosis. Evaluate and manage acidosis and alkalosis. Normal Physiology. Normal Blood pH. Keeping pH within the normal range involves balancing acids and bases in body fluids. . Normal pH for arterial blood. —. 7.35 to 7.45.. Normal pH for venous blood. —. 7.31 to 7.41.. Fall 2013. Acid Base Balance. Hydrogen ions - . Low concentrations but highly reactive. Concentration affects physiological functions . Alters protein and enzyme functioning. Can cause cardiac, renal, pulmonary abnormalities. Patient Background. Daishi . Hayato. Age 65. Male. Asian American. Retired. Wife and 4 adult children. Father had lung cancer . Primary Diagnosis: . Acute respiratory distress, COPD, peripheral vascular disease with intermittent . ABGs,. CVADs. Zoya. . Minasyan. , RN, MSN-. Edu. Purpose. Maintain a balance between acids and bases to achieve homeostasis: State of equilibrium. Health problems lead to imbalance. Diabetes mellitus. Dr Rickbir Singh Randhawa. FY1. Definition:. Asthma. Chronic inflammatory airway disease characterised by . reversible airway obstruction. , airway hyper-responsiveness and bronchial inflammation. . Three factors contribute to reversible airway narrowing:. Alok Agrawal, MD, FASN, FNKF. Clinical Associate Professor. WSU, Dayton, Ohio. Arterial Blood Gas. ABG’s - necessary to correctly diagnose AB disorders. Interpret ABG s in conjunction with history, PE and labs. Acid-Base Disorders. Acid-base homeostasis. Henderson-Hasellbach formula. Normal lab values. pH = 7,36 - 7,44. HCO. 3. = 24 mEq/L (22-30). pCO. 2. = 40 mmHg (36-40). AG = 12 mEq/L (. 10-14. ). Osmolar.