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diagnosis algorithm differential management checklist ddxof em disorders hematology nephrology acidbase acidosis endocrinology im interpretation pulmonary anemia bloodgas causes compensation
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Base Disorders - Evaluation ... more acidotic or alkalotic ... and ~5 mmHg to pCO2 ... Base #Disorders #Evaluation ... #workup #Differential
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
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
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 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
Tachypnea - Evaluation and Differential Diagnosis Algorithm Alkalemia: • Acute Respiratory Alkalosis • Chronic Hypercapnic Respiratory Failure
Tachypnea - Evaluation ... Acute Respiratory Alkalosis ... superimposed Respiratory Alkalosis ... Compensation or Alkalosis ... 3rEtbK8 #Tachypnea #Evaluation
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