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diagnosis criticalcare syndrome acidosis alkalosis acute bloodgas compensation differential interpretation metabolic pulmonary abg algorithm criteria disorders distress management acid arterial
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
HCO3 12:10 • Respiratory ... Acidosis (pCO2 ... HCO3 7:10 • Respiratory ... Alkalosis (pCO2 ... < 35 mmHg) #AcidBase
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
variables (pH, HCO2 ... , pCO2) move in ... it is a primary respiratory ... Diagnosis #Nephro #AcidBase ... Alkalosis #Metabolic #Respiratory
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
- Metabolic + Respiratory ... acidosis pH ↑ pCO2 ... ↓ - Respiratory ... ↑ - Respiratory ... Interpretation #AcidBase
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... Respiratory Acidosis ... production Respiratory ... MD @nickmmark #acidbase
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = PAO2 ... - PaO2 A-a gradient ... (Patm - 47) - (PaCO2 ... Hypoventilation: CNS of Respiratory ... : Atelectasis, ARDS
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... calculate the expected pCO2 ... MSc @AmyChung #AcidBase
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome • Timing - within one week of
Understanding & Treating ARDS ... - Acute Respiratory ... Impaired Oxygenation PaO2 ... @nickmmark #ARDS ... #Respiratory #Distress
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Criteria for Acute Respiratory ... Distress Syndrome (ARDS ... ) - Respiratory ... severity of the ARDS ... >= 5cm H2O #ARDS
Mechanical ventilation in obese patients according to the i-STAR Algorithm Intubate • Anticipate difficult airway management and
6 mL'kg PBW in ARDS ... 8 mL4(g in non-ARDS ... Parameters • Respiratory ... minimal to keep PaO2 ... and non ARDS, no
Acid-Base Disorders - Expected Compensation Equations Metabolic Acidosis: • pCO2 = 1.5 x HCO3 + 8 ±
Acidosis: • pCO2 ... ↑ 0.7 Respiratory ... ∆ HCO3 ↑ 3 Respiratory ... #Acid #Base #AcidBase ... Compensation #Metabolic #Respiratory
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