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diagnosis management anesthesiology anesthesia intraoperative differential acidbase criticalcare acidosis algorithm bloodgas disorders interpretation nephrology abg acid base causes compensation evaluation
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 ... - Contraction alkalosis ... nickmmark #acidbase #workup
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
pH ↓ pCO2 ↓ ... acidosis pH ↑ pCO2 ... pH ↑ pCO2 ↓ - ... Respiratory alkalosis ... pH ↓ pCO2 ↑ -
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
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?
acidosis or an alkalosis ... Look at the pCO2 ... concomitant respiratory alkalosis ... need to do more work ... Metabolic #Acidosis #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
Post Cardiac Arrest Workup Investigations Checklist - Dr. Josh Farkas @PulmCrit #Post #CardiacArrest #Workup #Checklist #Diagnosis #CriticalCare
Cardiac Arrest Workup ... Investigations Checklist ... CardiacArrest #Workup ... #Checklist #Diagnosis
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 ... Disorders #Evaluation #workup
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