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Acid Base Disorders - Formulas for appropriate metabolic and respiratory compensation

- Dr Amith Sreedharan - Consultant

Acid Base Disorders ... - Formulas for ... appropriate metabolic ... and respiratory ... Diagnosis #Nephrology #AcidBase

Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
• Metabolic Acidosis (HCO3 < 24mmol/L) CO2

Acid-Base Disorders ... pH < 7.35) • Metabolic ... pH > 7.45) • Metabolic ... < 35 mmHg) #AcidBase ... #Causes #Compensation

Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the

Acid Base and Blood ... Respiratory Acidosis ... MD @nickmmark #acidbase ... #workup #algorithm ... #interpretation

Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation:
1. Acidemia or Alkalemia?
2.

Acid Base Disorders ... Respiratory or Metabolic ... - Vomiting, NG suction ... MDaniyalHashmi1 #AcidBase ... bloodgas #Acid #Base

Prediction of Compensatory Responses on Simple Acid-Base Disturbances

#acidbase #compensation #metabolic #respiratory #diagnosis #calculations #formulas #acidosis #alkalosis

on Simple Acid-Base ... Disturbances #acidbase ... #compensation #metabolic ... #respiratory #diagnosis ... #calculations #formulas

Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?

Blood Gas (ABG) Interpretation ... and Acid-Base Pathology ... Opposite, Metabolic ... MSc @AmyChung #AcidBase ... #ABG #Interpretation

Acid-Base Disorders - Expected Compensation Equations

Metabolic Acidosis:
• pCO2 = 1.5 x HCO3 + 8 ±

Acid-Base Disorders ... ± 2 (Winter’s formula ... pCO2 ↓ 1.2 Metabolic ... ↓ 4 #Acid #Base ... #AcidBase #Disorders

$Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W$

Differential Diagnosis Algorithm ... transport, renal function ... Gastrointestinal function ... secretion • Acid-base ... components of acid-base

Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
• Rhabdomyolysis
• Tumor Lysis
• Metabolic or Respiratory Acidosis

Differential Diagnosis Algorithm ... Tumor Lysis • Metabolic ... or Respiratory ... Impaired Renal Function ... endocrinology #causes

Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
• Cl- responsive metabolic alkalosis

Differential Diagnosis Algorithm ... Vomiting/nasogastric suction ... • Normal acid-base ... Differential #Diagnosis #Algorithm ... #causes #urinary

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