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diagnosis acidbase acidosis disorders acid differential metabolic respiratory bloodgas clinical compensation interpretation abg algorithm ultrasound workup a4c apical cardiacmri cardiology
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Respiratory Acidosis (pCO2 ... • Metabolic Alkalosis ... • Respiratory Alkalosis ... (pCO2 < 35 mmHg
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
Acid Base Compensation ... variables (pH, HCO2 ... , pCO2) move in ... AcidBase #Acidosis #Alkalosis
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Acid Base and Blood ... 2. pCO2 - What’s ... the pCO2? ... production Respiratory alkalosis ... - Contraction alkalosis
Acid Base Disorders Worksheet Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
Acid Base Disorders ... has a primary alkalosis ... >40 patient's alkalosis ... is -Y patient's alkalosis ... joshsteinbergMD #Acid #Base
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid Base ... more acidotic or alkalotic ... than expected based ... Generally, for acid/base ... and ~5 mmHg to pCO2
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... acidosis or an alkalosis ... Look at the pCO2 ... concomitant respiratory alkalosis ... Metabolic #Acidosis #Alkalosis
Acid-Base Disorders - Expected Compensation Equations Metabolic Acidosis: • pCO2 = 1.5 x HCO3 + 8 ±
Acid-Base Disorders ... 1.2 Metabolic Alkalosis ... Respiratory Alkalosis ... ↓ 4 #Acid #Base ... Respiratory #Acidosis #Alkalosis
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... 7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... bloodgas #Acid #Base
POCUS appearance of Pleural thickening at right base. (patient was referred as possible pleural effusion, referral
POCUS appearance ... thickening at right base ... Pleural #Thickening #POCUS ... #Clinical #Comparison
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 #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
Osmolar Gap ACID-BASE ... pCO2 = 1.5 (HCO3 ... 2)| Metabolic Alkalosis ... Respiratory Alkalosis ... )/HCO3 Acid base
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