9 results
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
• Metabolic Acidosis ... • Respiratory Acidosis ... (pCO2 > 40 mmHg ... Respiratory Alkalosis (pCO2 ... < 35 mmHg) #AcidBase
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -
+ Respiratory Acidosis ... Alkalosis pH ↓ pCO2 ... pH ↑ pCO2 ↑ - ... alkalosis pH ↑ pCO2 ... Interpretation #AcidBase
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
variables (pH, HCO2 ... , pCO2) move in ... Diagnosis #Nephro #AcidBase ... #Acidosis #Alkalosis
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... Medications, Central, ↑ CO2 ... MD @nickmmark #acidbase ... #workup #algorithm
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
patient have an acidosis ... Look at the pCO2 ... the change in pCO2 ... need to do more work ... MSc @AmyChung #AcidBase
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... ↓ ↓ Metabolic Acidosis ... MDaniyalHashmi1 #AcidBase
Acid-Base Disorders - Expected Compensation Equations

Metabolic Acidosis:
 • pCO2 = 1.5 x HCO3 + 8 ±
Equations Metabolic Acidosis ... : • pCO2 = 1.5 ... Respiratory Acidosis ... #Acid #Base #AcidBase ... #Respiratory #Acidosis
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
are they more acidotic ... and ~5 mmHg to pCO2 ... Gap Metabolic Acidosis ... : Lactic Acidosis ... Disorders #Evaluation #workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
• If expired CO2 ... toxicity (→ 3-10) Acidosis ... Diagnosis #Management #Workup