Acids & Bases (acid base balance)

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Outline

Overview

  1. Acids- solutions that contain more hydrogen ions or hydronium ions than hydroxide ions. (pH below 7 to 0)
  2. Bases-solutions that contain more hydroxide ions than hydrogen ions or hydronium ions (pH above 7-14)
  3. pH is German for “the potenz/potential to make a H ion”.
    1. Negative log number measures amounts of H+ to OH- as water dissociates
    2. When H+ (H3O+) = OH- pH is 7 and considered neutral
    3. When H+ (H3O+) > OH- pH is below 7 and considered Acidic
    4. When H+ (H3O+) < OH- pH is above 7 and considered Basic
    5. Vaules close but below 7 are weak acids whereas values close but above 7 are weak bases
    6. Buffers produced by the body to bring pH levels back in homeostatic range

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Transcript

Hello there! Today our lesson is on understanding acids and bases.

So acid is defined by the number of hydrogen ions or more specifically how many hydronium ions there are in a solution compared to the number of hydroxide ions. So a water or H2O  molecule looks like a Mickey Mouse and the ears of Mickey are the hydrogens. And liquid water molecules are constantly colliding into one another and at any given time a Mickey mouse can lose an ear or gain one as these polar molecules interact. Pure water will have an equal or balanced amount of hydrogens or hydronium ions to hydroxide ions. But when the solution has and unbalanced amount of these and in this case has more Hydrogen ions and hydronium ions than hydroxide ions the solution is said to be acidic. So some great examples of this in life is hydrochloric acid, carbonic acid, uric acid, ascorbic acid and acetic acid. 
A solution that contains more hydroxide ions than hydrogen ions or hydronium ions is called a base. Examples of a base include baking soda, soap, milk of magnesia, egg shells and bleach. Bases tend to be bitter in taste and slimy to the touch.

And a great way to measure how acidic or basic a solution is is by measuring its pH. pH which is thought to mean “the potential to make hydrogen ions” and it actually measures the H+ or H30+ ions in a solution. So when a solution is neutral there is a 10^-7 M concentration of hydronium ions and equally, there is a 10^-7 M concentration of hydroxide ions.  The pH scale is based on that negative logarithmic value of 10 to the negative 7th power. So when both are at that we say the pH is 7. Should the Hydronium concentration increase and an increase in a negative number would be to go from say -7 to -4 (-4 is bigger than -7) then the pH value drops as the concentration of hydronium ions increases. When the hydroxide values are greater than the hydronium values we say it has a pH greater than 7 and that it is basic.

So here are some common solutions found in life and their pH values. The location has a lot to do with the pH levels and the function of different solutions. So, for example, the stomach has a  pH that is very low to aid in digestion. Lysosomes and the pH of our skin are both working hard to break down foreign materials and acid solutions can definitely assist with that. Most solutions in the human body hover around 7. However, that doesn’t happen magically. Feedback mechanisms work really well if the pH of saying the blood shifts too far from normal (7.35-7.45. To maintain that critical range the body will release what are known as buffers to bring back pH levels to normal. If it leans towards being more acidic the body will secret a weak base and vice versa. Maintaining Homeostasis is crucial and constant for survival.

So to review acids are solutions that have a higher number of hydrogen or hydronium ions than hydroxides and have a pH under 7. Bases are just the opposite in that the -OH levels are higher than the H30+ and the pH level is above. pH is an important measure of these ion concentrations, especially in life and it measures the amount of H+/H30+ ions in a given solution. And since balanced pH levels are so important to live organisms buffers are constantly being made to maintain homeostasis.

Thank you for reviewing the Acids and bases in this lesson. Now go out and be your best self today and Happy Nursing.

 

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NSG 252 TEST1

Concepts Covered:

  • Respiratory Disorders
  • Acute & Chronic Renal Disorders
  • Renal Disorders
  • Noninfectious Respiratory Disorder
  • Basics of Chemistry
  • Eating Disorders
  • Disorders of Pancreas
  • Respiratory Emergencies
  • Postoperative Nursing
  • Respiratory System
  • Liver & Gallbladder Disorders
  • Emergency Care of the Respiratory Patient
  • Medication Administration
  • Upper GI Disorders
  • Respiratory
  • Urinary System
  • Newborn Complications
  • Studying
  • Shock
  • Immunological Disorders
  • Urinary Disorders

Study Plan Lessons

ABGs Nursing Normal Lab Values
ABG (Arterial Blood Gas) Interpretation-The Basics
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Lung Sounds
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Glomerulonephritis
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Acids & Bases (acid base balance)
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
Base Excess & Deficit
Pulmonary Function Test
Dialysis & Other Renal Points
Dialysis & Other Renal Points
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Hemodialysis (Renal Dialysis)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Continuous Renal Replacement Therapy (CRRT, dialysis)
Postoperative (Postop) Complications
Surgical Incisions & Drain Sites
Trach Suctioning
Inserting an NG (Nasogastric) Tube
Inserting an NG (Nasogastric) Tube
Hierarchy of O2 Delivery
Acute Respiratory Distress
Artificial Airways
Artificial Airways
Ventilator Settings
Blunt Chest Trauma
Chest Tube Management
NG Tube Medication Administration
Chest Tube Management
Chest Tube Management
Enteral & Parenteral Nutrition (Diet, TPN)
Enteral & Parenteral Nutrition (Diet, TPN)
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
Hierarchy of O2 Delivery
Artificial Airways
Renal (Kidney) Structure & Function
Renal (Kidney) Fluid & Electrolyte Balance
Renal (Kidney) Acid-Base Balance
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Anion Gap
ARDS Case Study (60 min)
Aspiration for Certified Emergency Nursing (CEN)
Base Excess & Deficit
Chest Tube Assessment Nursing Mnemonic (Two AA’s)
Chest Tube Management
Chronic Kidney Disease (CKD) Case Study (45 min)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)
Lactic Acid
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Glomerulonephritis
Obstruction for Certified Emergency Nursing (CEN)
Obstructive Sleep Apnea for Progressive Care Certified Nurse (PCCN)
Peritoneal Dialysis (PD)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Pneumothorax for Certified Emergency Nursing (CEN)
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
Vent Alarms