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Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
Arterial Blood Gas (ABG ... Alkalosis pH ↓ pCO2 ... acidosis pH ↑ pCO2 ... Arterial #BloodGas #ABG ... Interpretation #AcidBase
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
ABG vs VBG: Arterial ... vs Venous Blood Gases ... ABG PROS: Tells ... looks like (pH, PaCO2 ... Comparison #pH #pCO2
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
HCO3 < 24mmol/L) CO2 ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2 ... < 35 mmHg) #AcidBase ... Diagnosis #Algorithm #Causes
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
ABG And BMP Normal ... 7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... MDaniyalHashmi1 #AcidBase
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... Look at the pCO2 ... Amy Chung, MD, MSc ... @AmyChung #AcidBase ... #ABG #Interpretation
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
type of hypoxia) PIO2 ... O2 is inspired) PAO2 ... blood (measured on ABG ... Low SvO2 → Low PaO2 ... differential #diagnosis #causes
Oxygen Delivery by Device Nasal Cannula • Indicated for low-flow, low-percentage supplemental oxygen. • Flow rate of
permit exhaled CO2 ... use of reservoir bag ... retention of exhaled gases ... Venturi Mask (venti-mask ... • Uses either
#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
Gap ACID-BASE AG ... pCO2 = 1.5 (HCO3 ... for each 10 - in pCO2 ... pk + log (HCO3/(PCO2 ... 70 mmHg on 100% mask
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... • Orthopnea - PaO2 ... Arterial blood gas (ABC ... Oxygenation defect - PaO2 ... transplant - Lizzie Aby
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
AKI) What to ask ... OTCs, herbals, abx ... rhabdo/TLS) Causes ... Diagnosis #Algorithm #Causes
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