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

• Metabolic Acidosis ... HCO3 < 24mmol/L) CO2 ... • Respiratory Acidosis ... (pCO2 > 40 mmHg ... Respiratory Alkalosis (pCO2

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

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 ... Medications, Central, ↑ CO2 ... gap metabolic acidosis

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

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 ... is a metabolic acidosis

Renal Tubular Acidosis (RTA) Diagnosis and Management
• Distal (type 1) RTA
• Proximal (type 2)

Renal Tubular Acidosis ... Diagnosis and Management ... Renal #Tubular #Acidosis ... #Diagnosis #Management ... #nephrology #table

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

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 ... Gap Metabolic Acidosis

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