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diagnosis differential management nephrology causes hematology evaluation alkalosis metabolic ddxof criticalcare endocrinology peds respiratory anemia pulmonary pediatrics acidbase disorders em
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 ... nickmmark #acidbase #workup ... #algorithm #diagnosis
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Differential Diagnosis Algorithm ... • Metabolic Acidosis ... • Respiratory Acidosis ... Respiratory Alkalosis (pCO2 ... Differential #Diagnosis #Algorithm
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
+ Respiratory Acidosis ... Alkalosis pH ↓ pCO2 ... pH ↑ pCO2 ↑ - ... alkalosis pH ↑ pCO2 ... alkalosis pH ↓ pCO2
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
variables (pH, HCO2 ... , pCO2) move in ... Nephro #AcidBase #Acidosis
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
Index CARDIAC WORK ... RCWI Cardiac Work ... 0.0144 Cardiac Work ... Ventricular Stroke Work ... Ventricular Stroke Work
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
patient have an acidosis ... Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... need to do more work
Acid Base Disorders Worksheet Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
CI-, HCO3-, PH, pCO2 ... has a primary acidosis ... . 3a: If pCO2 ... >40 patient's acidosis ... <40 patient's acidosis
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
are they more acidotic ... and ~5 mmHg to pCO2 ... Gap Metabolic Acidosis ... : Lactic Acidosis ... Disorders #Evaluation #workup
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 ... ↓ ↓ Metabolic Acidosis ... For Metabolic Acidosis
Blood Gas Analysis and Interpretation STEPS TO ANALYSIS 1. Look at PH. Alkalotic or acidotic?
Alkalotic or acidotic ... - If acidotic ... then it is an acidosis ... - pCO2 (respiratory ... - alkalotic or acidotic
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