Acidosis vs Alkalosis

Acidosis vs Alkalosis

Normal values:

  • pH: 7.35 – 7.45
  • PaCO2: 35 – 45
  • HCO3: 22 – 26

Acidosis: pH < 7.35

Alkalosis: pH > 7.45

Respiratory acidosis:

  • Findings: Low pH, high PaCO2
  • Causes: Sedative overdose, hypoventilation, atelectasis.
  • Pathophysiology: CO2 retention from hypoventilation.
  • Compensation: HCO3 retention by kidneys.

Respiratory alkalosis:

  • Findings: High pH, low PaCO2
  • Causes: Hyperventilation.
  • Pathophysiology: Increased CO2 excretion from hyperventilation.
  • Compensation: HCO3 excretion by kidneys.

Metabolic acidosis:

  • Findings: Low pH, high HCO3
  • Causes: DKA, renal failure, severe diarrhea
  • Pathophysiology: Inability to excrete acid or loss of base
  • Compensation: CO2 excretion by lungs.

Metabolic alkalosis:

  • Findings: High pH, high HCO3
  • Causes: Severe vomiting, gastric suctioning, high NAHCO3 intake.
  • Pathophysiology: Loss of strong acid or gain of base
  • Compensation: CO2 retention by lungs.
Nursing diagnosis

Nursing diagnosis

Types of nursing diagnosis:

  • Problem focused: Ineffective breathing pattern.
  • Risk: Risk for infection.
  • Health promotion: Readiness for enhanced family coping.
  • Syndrome: Chronic pain syndrome.

Writing diagnostic statements:

  • One part: Readiness for enhanced breastfeeding.
  • Two part: Risk for infection related to compromised host defenses.
  • Three part: Impaired physical mobility related to decreased muscle control as evidenced by inability to control lower limbs.