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diagnosis differential alkalosis management metabolic acidbase criticalcare disorders acid base bloodgas compensation interpretation ventilation abg causes noninvasive pulmonary nephrology analysis
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 ... nickmmark #acidbase #workup ... #algorithm #diagnosis
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Differential Diagnosis Algorithm ... • Metabolic Acidosis ... HCO3 12:10 • Respiratory ... Acidosis (pCO2 ... Alkalosis (pCO2
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
- Metabolic + Respiratory ... pH ↓ pCO2 ↓ ... pH ↑ pCO2 ↑ - ... ↓ - Respiratory ... ↑ - Respiratory
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
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 ... the change in pCO2 ... acidosis if lower ... need to do more work
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
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
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
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 ... min 400-600 mL Respiratory ... ratio 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 ... retention • Respiratory ... Ventilation • Respiratory ... Disorders #Evaluation #workup
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