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Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -

Arterial Blood Gas (ABG ... + Respiratory Acidosis ... pH ↑ pCO2 ↑ - ... Arterial #BloodGas #ABG ... Interpretation #AcidBase

Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
• Metabolic Acidosis (HCO3 < 24mmol/L) CO2

• Metabolic Acidosis ... • Respiratory Acidosis ... (pCO2 > 40 mmHg ... < 35 mmHg) #AcidBase ... Diagnosis #Algorithm #Causes

Arterial Blood Gas (ABG) Interpretation
• AG/non-AG Metabolic Acidosis
• AG Acidosis "Delta/Delta"
• Metabolic Alkalosis

Acidosis • AG ... Acidosis "Delta ... • Respiratory Acidosis ... Arterial #BloodGas #ABG ... Interpretation #diagnosis #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 ... Acetazolamide Causes ... MDaniyalHashmi1 #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

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

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 ... need to do more work ... MSc @AmyChung #AcidBase ... #ABG #Interpretation

Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)

are they more acidotic ... Do you need an ABG ... approximates an ABG ... and ~5 mmHg to pCO2 ... Disorders #Evaluation #workup

Blood Gas Analysis and Interpretation
STEPS TO ANALYSIS
1. Look at PH. Alkalotic or acidotic?

Alkalotic or acidotic ... - If acidotic ... - pCO2 (respiratory ... #BloodGas #ABG # ... VBG #Analysis #Interpretation

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