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diagnosis vbg acid acidbase acidosis alkalosis bloodgas clinical correlation differences differential disorders interpretation cabg conversion ebm echocardiogram evaluation gas graft
What's in a Blood Gas? VBG vs ABG BOTTOM LINE: VBG is less painful, more easily obtained
VBG vs ABG BOTTOM ... , pH correlates ... very well, and PvCO2 ... #Versus #Comparison ... #PH #PCO2 #Studies
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
ABG vs VBG: Arterial ... environment looks like (pH ... , PaCO2, HCO3) CONS ... #Correlation #Comparison ... #pH #pCO2 #Diagnosis
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... ABG And BMP Normal ... Values • pH: ... pCO2 ↓ ↓ Metabolic ... bloodgas #Acid #Base
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 ... Look at the pH 2 ... Amy Chung, MD, MSc ... AmyChung #AcidBase #ABG
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid Base ... than expected based ... an ABG by adding ... ~0.05 to pH and ... ~5 mmHg to pCO2
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
Osmolar Gap ACID-BASE ... AG S 8-16 mEq ... )/HCO3 Acid base ... 50mmHg (acute I pH ... on FIO2 < 50% pH
Hill-Sachs Lesion on Ultrasound Unlike normal variant irregular bare area (arrowhead) under infraspinatus, a Hill-Sachs lesion
variant irregular bare ... Lesion #Ultrasound #MSK ... #POCUS #Humerus ... #Clinical #Comparison
CABG Graft Pseudoaneurysm Chest pain post CABG - always worth taking a look! Large graft pseudoaneurysm!!
CABG Graft Pseudoaneurysm ... Chest pain post CABG ... and emphysema, ask ... subcostal as in this case ... Pseudoaneurysm #clinical #pocus
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