Question 1
Question
Blood gas data does not assess which of the following processes?
Answer
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Oxygenation
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Ventilation
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Acid-base balance
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Perfusion
Question 2
Question
When has a person has acidemia, the H* ion concentration in the blood is [blank_start]increased[blank_end] while in alkalemia, the H* ion concentration in the blood is [blank_start]decreased[blank_end].
Question 3
Question
Base excess has a normal value of [blank_start]zero[blank_end]. A negative value of base excess indicates metabolic acidosis while a positive value indicates metabolic alkalosis.
Question 4
Question
A pH of 7.0 is what amount of hydrogen ions?
Question 5
Question
Which is the first line of defense to maintain homeostasis?
Answer
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Bicarbonate
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Hemoglobin
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Protein
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Phosphate
Question 6
Question
[blank_start]Protonation[blank_end] is when an acid donates H* to the base.
Question 7
Question
Which of the following pKa values would be the strongest acid?
Question 8
Question
Label the steps of the following in the bicarbonate buffer system.
[blank_start]1[blank_end] Carbon dioxide combines with water
[blank_start]4[blank_end] H* and bicarbonate products are formed
[blank_start]2[blank_end] Carbonic acid is formed
[blank_start]3[blank_end] Carbonic acid dissociates
Question 9
Question
This image is an example of the [blank_start]Henderson-Hasselbach equation[blank_end].
Question 10
Question
According to the Henderson-Hasselbach equation, pH is [blank_start]positively[blank_end] related to bicarb and [blank_start]inversely[blank_end] related to PaCO2.
Question 11
Question
Hemoglobin protein can reversibly bind either to H* (the protein) or 02 (to the Fe of the heme group). When one substance is bound, the other is [blank_start]released[blank_end].
Question 12
Question
What's another word for a hamburger shift?
Answer
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Chloride shift
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Potassium shift
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Sodium shift
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Bicarbonate shift
Question 13
Question
What chemoreceptor is responsible for 85 percent of the ventilatory response to increased PaC02?
Answer
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Peripheral
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Central
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Afferent
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Efferent
Question 14
Question
The proximal tubules of the kidneys regulate what?
Question 15
Question
What medication inhibits carbonic anhydrase inhibitors, which impairs bicarb absorption?
Answer
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Acetazolamide
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Lasix
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Diuril
Question 16
Question
A compensatory response to acid-base disturbances is in the [blank_start]same[blank_end] direction as the disturbance.
Question 17
Question
What is the threshold pH that indicates need for intubation?
Question 18
Question
With metabolic alkalosis with chronic respiratory acidosis, you should avoid mechanical hyperventilation.
Question 19
Question
Fill in the equation for an anion gap:
AG = [blank_start]Na[blank_end] - ([[blank_start]Cl[blank_end]] - [[blank_start]HCO3[blank_end]])
Answer
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Na
-
K
-
Cl
-
HCO3
-
Cl
-
K
-
Na
-
HCO3
-
HCO3
-
Na
-
Cl
-
K
Question 20
Question
Which of the following are indicators of the severity of metabolic acidosis? (Select all that apply)
Answer
-
Base deficit
-
Lactate levels
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pKa levels
-
Bicarb levels
Question 21
Question
What is the calculation for sodium bicarbonate resuscitation in metabolic acidosis?
Base deficit X patient weight in kilograms X WHAT? = mEq of NaCHO3; Divide this dose in half and re-test after initial dose.
Question 22
Question
Transfusing large volumes of blood can cause metabolic acidosis.