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Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders - Differential ... HCO3 12:10 • Respiratory ... HCO3 7:10 • Respiratory ... Alkalosis (pCO2 ... AcidBase #Disorders #Differential
Respiratory Oxygenation Cycle - Pathophysiology PO2 and PCO2 By @rev.med #Respiratory #Oxygenation #Cycle #circulation #pathophysiology
Respiratory Oxygenation ... Pathophysiology PO2 ... and PCO2 By @rev.med ... #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 ... Alkalosis #Metabolic #Respiratory
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
- Metabolic + Respiratory ... Alkalosis pH ↓ pCO2 ... acidosis pH ↑ pCO2 ... ↓ - Respiratory ... ↑ - Respiratory
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = PAO2 ... - PaO2 A-a gradient ... (Patm - 47) - (PaCO2 ... Hypoventilation: CNS of Respiratory ... Hypoxia #hypoxemia #differential
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
min 400-600 mL Respiratory ... -PECO2))/PaCO2 ... = >60% Forced Espiratory ... ratio Respiratory ... Tension PACO2
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
Acid Base Disorders Worksheet Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
CI-, HCO3-, PH, pCO2 ... patient's alkalosis is respiratory ... patient's acidosis is respiratory ... diagnoses using the differentials ... Worksheet #diagnosis #differential
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
– metabolic or respiratory ... Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... calculate the expected pCO2
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
different phases of respiratory ... pathophysiology CLINICAL ... Assessing for CO2 ... PHASE I - Inspiratory ... WAVEFORM - Critical
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