A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
5. What two organs in the body serve as a compensatory function to maintain acid base balance?
6. Arterial blood gas (ABG) measurement will give the information needed to determine if the primary
disturbance of acid-base balance is respiratory or metabolic in nature.
A. True
B. False
A. True
B. False
C. Maybe
D. Both Acidosis and Alkalosis result in overexcitement of the central nervous system.
8. Alkalosis is characterized by overexcitement of the nervous system.
A. True
B. False
D. Both Acidosis and Alkalosis result in overexcitement of the central nervous system.
A. True
B. False
C. Maybe
10. Acids have no hydrogen ions and are able to bind in a solution.
A. True
B. False
Match the acid-base status of the following blood samples to the disorders in the given choices. (PaCO2
values are in mm Hg and bicarbonate values in mmol/l).
A. Respiratory Acidosis
B. Metabolic Acidosis
C. Respiratory Alkalosis
D. Normal
Excessive pulmonary ventilation decreases hydrogen ion concentration and thus causes respiratory
alkalosis. It can become dangerous when it leads to cardiac dysrhythmias caused partly by a decrease in
serum potassium levels.
2. Answer: D. Respiratory Acidosis
An excess of carbon dioxide (hypercapnia) can cause carbon dioxide narcosis. In this condition, carbon
dioxide levels are so high that they no longer stimulate respirations but depress them.
The body compensates by using body fat for energy, producing abnormal amounts of ketone bodies. In
an effort to neutralize the ketones and maintain the acid-base balance of the body, plasma bicarbonate
is exhausted. This condition can develop in anyone who does not eat an adequate diet and whose body
fat must be burned for energy. Symptoms include headache and mental dullness.
In metabolic alkalosis, breathing becomes depressed in an effort to conserve carbon dioxide for
combination with water in the blood to raise the blood level of carbonic acid. Symptoms include
confusion, dizziness, numbness or tingling of fingers or toes.
The carbonic acid concentration is controlled by the amount of carbon dioxide excreted by the lungs. The
bicarbonate concentration is controlled by the kidneys, which selectively retain or excrete bicarbonate in
response to the body’s needs.
6. Answer: A. True
ABG’s are blood tests that are useful in identifying the cause and extent of the acid-base disturbance and
in guiding and monitoring treatment.
7. Answer: B. False
The major effect is a depression of the central nervous system, as evidenced by disorientation followed
by coma.
8. Answer: A. True
9. Answer: A. True
The maintenance of acid-base balance, which in one part of homeostasis, is evidenced by an arterial
plasma pH value of 7.35-7.45. Many mechanisms in the body work together to achieve and maintain this
delicate narrow range of pH that is essential for normal cell function.
Acids are substances having one or more hydrogen ions that can be liberated into a solution.