A | B |
pH | reflects acid/base balance |
PaCO2 | respiratory component of the acid/base determination |
PaO2 | 70-100 |
HCO3 | renal component of the acid/base equililibrium |
SpO2 | pulse oximiter reading |
crackles | atelectasis or fluid overload as in CHF |
stridor | parial upper airway obstruction |
silibant wheeze | made with bronchial contstriction |
sonorous wheeze | rhonchi- large bronchi may have fluid in them |
+JVD | sign of or fluid overload or CHF |
pedal edema | most often a sign of fluid overload or CHF |
metabolic acidosis | renal disease or DKA |
respiratory acidosis | hypoventiation from any cause |
metabolic alkalosis | prolonged vomiting or diarhea |
respiratory alkalosis | hyperventialtion from any cause |
first sign of hypoxia | new onset of anxiety,irritability,confusion or memory loss |
retractions | assessment finding when the person attempts to increase the size of their rib cage when in respiratory distress |
pH 7.30; pCO2 55; pO2 75; HCO3 24 | respiratory acidosis |
pH 7.50; pCO2 30; pO2 100; HCO3 25 | respiratory alkalosis |
pH 7.31; pCO2 40; pO2 80; HCO3 18 | metabolic acidosis |
pH 7.51; pCO2 45; pO2 88; HCO3 33 | Metabolic alkalosis |
starvation | results in excessive metabolic acid produciton |
hyperventialtion | results in blowing off excess acid or CO2 |
prolonged NG suctioning | results in excessive metabolic acid removal |
CVA resulting in irregular breathing and stridor | results in an increase of CO2 in the blood |
SOB when walking to the bathroom | DOE |
awakens SOB everynight | PND |
highest FiO2 availabe by mask | NRB |
inspect for a RR of 40 | perormed first when asssessing the respiratory system and is a normal respiratory rate for an infant |
pain with inspriation resulting in hypoventilation | often described as splinting respirations |
green sputum produced | productive cough |
aspiration may occur | CVA that affects the normal action of the epiglottis |