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Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -

- Metabolic + Respiratory ... pH ↓ pCO2 ↓ ... pH ↑ pCO2 ↑ - ... ↓ - Respiratory ... ↑ - Respiratory

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

• Metabolic Acidosis ... HCO3 12:10 • Respiratory ... Acidosis (pCO2 ... HCO3 7:10 • Respiratory ... Alkalosis (pCO2

Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the

variables (pH, HCO2 ... , pCO2) move in ... it is a primary respiratory ... Nephro #AcidBase #Acidosis ... Alkalosis #Metabolic #Respiratory

Acid-Base Disorders - Expected Compensation Equations

Metabolic Acidosis:
• pCO2 = 1.5 x HCO3 + 8 ±

Equations Metabolic Acidosis ... ↑ 0.7 Respiratory ... Acidosis: • Acute ... ∆ HCO3 ↑ 3 Respiratory ... #Acidosis #Alkalosis

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 ... production Respiratory ... alkalosis #metabolic #respiratory

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 ... acidosis if lower

Acid Base Disorders Worksheet

Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all

has a primary acidosis ... patient's alkalosis is respiratory ... >40 patient's acidosis ... is respiratory; ... patient's 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 ... agrees with pH (respiratory

Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation:
1. Acidemia or Alkalemia?
2.

Respiratory or Metabolic ... 7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... compensation • Respiratory

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 ... : Lactic Acidosis ... retention • Respiratory ... Ventilation • Respiratory

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