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Acid Base Disorders - Formulas for appropriate metabolic and respiratory compensation

- Dr Amith Sreedharan - Consultant
Acid Base Disorders ... - Formulas for ... and respiratory compensation ... #Formula #Winters ... Diagnosis #Nephrology #AcidBase
Summary of metabolic compensation for respiratory acid-base disorders
#Diagnosis #Nephro #Respiratory #Acidosis #Alkalosis #Metabolic #Compensation #Formulas #Curbsiders
Summary of metabolic compensation ... respiratory acid-base ... Alkalosis #Metabolic #Compensation ... #Formulas #Curbsiders
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 # ... #calculations #formulas
Acid-Base Disorders - Expected Compensation Equations

Metabolic Acidosis:
 • pCO2 = 1.5 x HCO3 + 8 ±
Acid-Base Disorders ... - Expected Compensation ... ± 2 (Winter’s formula ... #AcidBase #Disorders ... #Compensation #
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Differential Diagnosis Algorithm ... < 35 mmHg) #AcidBase ... Differential #Diagnosis #Algorithm ... #Causes #Compensation
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid Base ... than expected based ... the appropriate compensation ... done by using formulas ... Disorders #Evaluation #workup
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... - Is there any compensation ... either partial compensation ... need to do more work ... MSc @AmyChung #AcidBase
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Acid Base and Blood ... MD @nickmmark #acidbase ... #workup #algorithm
USMLE Epidemiology and Biostatistics Summary
Meta-Analysis: pools data from several studies (greater power), limited by quality/bias of
systematic error Correlation ... perfect positive correlation ... perfect negative correlation ... , 0 = no correlation ... Biostatistics #formulas
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

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RV
ICU-card «ICU, Formulas ... Index CARDIAC WORK ... RCWI Cardiac Work ... 0.0144 Cardiac Work ... Q-T interval correction