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diagnosis differential algorithm management causes nephrology respiratory metabolic pulmonary criticalcare pathophysiology acidosis syndrome acidbase endocrinology workup comparison hypokalemia interpretation signs
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
pH ↓ pCO2 ↓ ... acidosis pH ↑ pCO2 ... pH ↑ pCO2 ↓ - ... Respiratory alkalosis ... 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 ... • Metabolic Alkalosis ... • Respiratory Alkalosis ... (pCO2 < 35 mmHg
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... production Respiratory alkalosis ... Salicylates Metabolic Alkalosis ... - Contraction alkalosis
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
variables (pH, HCO2 ... , pCO2) move in ... AcidBase #Acidosis #Alkalosis
Acid Base Disorders Worksheet Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
CI-, HCO3-, PH, pCO2 ... has a primary alkalosis ... . 3a: If pCO2 ... >40 patient's alkalosis ... is -Y patient's alkalosis
Blood Gas Analysis and Interpretation STEPS TO ANALYSIS 1. Look at PH. Alkalotic or acidotic?
Alkalotic or acidotic ... - If alkalotic, ... then it is an alkalosis ... - pCO2 (respiratory ... component) - alkalotic
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
acidosis or an alkalosis ... Look at the pCO2 ... the change in pCO2 ... concomitant respiratory alkalosis ... Metabolic #Acidosis #Alkalosis
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
more acidotic or alkalotic ... and ~5 mmHg to pCO2 ... • Metabolic Alkalosis ... • Respiratory Alkalosis ... Diagnosis #acidosis #alkalosis
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 alkalosis ... Acidosis ↑ ↓ Resp Alkalosis
#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
pCO2 = 1.5 (HCO3 ... 2)| Metabolic Alkalosis ... pCO2 = 0.9 (HCO3 ... for each 10 T in pCO2 ... Respiratory Alkalosis
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