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Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2 ... < 35 mmHg) #AcidBase ... Diagnosis #Algorithm #Causes
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
Acid Base Compensation ... variables (pH, HCO2 ... , pCO2) move in ... Diagnosis #Nephro #AcidBase
PLACO Mnemonic - Approach to Acid-Base Disorders P - Determine the pH L - Labs: PCO2 & HCO3 A
Approach to Acid-Base ... pH L - Labs: PCO2 ... jadav_md #PLACO #AcidBase ... #Acid #Base #diagnosis
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Acid Base and Blood ... 2. pCO2 - What’s ... the pCO2? ... Medications, Central, ↑ CO2 ... MD @nickmmark #acidbase
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = PAO2 ... Weakness, Loss of Chest ... Elasticity (flail chest ... Embolism, Obstructive Lung ... , Interstitial Lung
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... Metabolic: pH pCO2 ... or restrictive lung ... MDaniyalHashmi1 #AcidBase ... bloodgas #Acid #Base
Lung Segment Anatomy Annotated on Chest CT Right Lung: • Upper Lobe: Apical, Posterior, Anterior • Middle
Lung Segment Anatomy ... Annotated on Chest ... radiopaedia.org/cases ... lobes #Segments #Chest ... #CT #CTChest #pulmonary
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 Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... MSc @AmyChung #AcidBase
Acid-Base Disorders - Expected Compensation Equations Metabolic Acidosis: • pCO2 = 1.5 x HCO3 + 8 ±
Acid-Base Disorders ... Acidosis: • pCO2 ... ∆ HCO3 ↓ 1 → ∆ pCO2 ... ↓ 4 #Acid #Base ... #AcidBase #Disorders
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
HYPOVENTILATION • Rising PaCO2 ... gas equation • Causes ... : Interstitial lung ... ventilation (V) in the lungs ... bypassing the lungs
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