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diagnosis management criticalcare pulmonary differential algorithm interpretation acidosis alkalosis bloodgas clinical syndrome acute causes compensation disorders foamed metabolic acid arterial
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
Arterial Blood Gas (ABG ... ↓ - Respiratory ... ↑ - Respiratory ... Arterial #BloodGas #ABG ... Interpretation #AcidBase
Arterial Blood Gas (ABG) Interpretation • AG/non-AG Metabolic Acidosis • AG Acidosis "Delta/Delta" • Metabolic Alkalosis
Arterial Blood Gas (ABG ... Alkalosis • Respiratory ... Acidosis • Respiratory ... Arterial #BloodGas #ABG ... Interpretation #diagnosis #acidbase
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
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 ... or restrictive lung ... 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 ... the change in pCO2 ... MSc @AmyChung #AcidBase ... #ABG #Interpretation
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = PAO2 ... Hypoventilation: CNS of Respiratory ... : Atelectasis, ARDS ... Embolism, Obstructive Lung ... , Interstitial Lung
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
Capnography Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
• PvCO2 - Mixed ... venous CO2 • ... PaCO2 - Arterial ... on an ABG) The ... intubation, single lung
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Criteria for Acute Respiratory ... Distress Syndrome (ARDS ... ) - Respiratory ... lobar collapse, lung ... severity of the ARDS
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