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clinical pulmonary ultrasound diagnosis physicalexam differential criticalcare management syndrome acidbase breathing echocardiogram radiology acidosis algorithm alkalosis chest disorders jugular trauma
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... 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
Acid Base Compensation ... variables (pH, HCO2 ... , pCO2) move in ... it is a primary respiratory ... Alkalosis #Metabolic #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 ... Hypoventilation: CNS of Respiratory ... Embolism, Obstructive Lung ... , Interstitial Lung
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Acid Base and Blood ... 2. pCO2 - What’s ... the pCO2? ... Respiratory Acidosis ... production Respiratory
Acid Base Disorders Worksheet Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
Acid Base Disorders ... CI-, HCO3-, PH, pCO2 ... patient's alkalosis is respiratory ... patient's acidosis is respiratory ... joshsteinbergMD #Acid #Base
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... calculate the expected pCO2
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... or restrictive lung ... bloodgas #Acid #Base
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid Base ... and ~5 mmHg to pCO2 ... retention • Respiratory ... depression, Obstructive Lung ... Ventilation • Respiratory
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
different phases of respiratory ... Assessing for CO2 ... PHASE I - Inspiratory ... Transition as CO2 ... the heart to the lung
Acid-Base Disorders - Expected Compensation Equations Metabolic Acidosis: • pCO2 = 1.5 x HCO3 + 8 ±
Acid-Base Disorders ... ↑ 0.7 Respiratory ... ∆ HCO3 ↑ 3 Respiratory ... ↓ 4 #Acid #Base ... Compensation #Metabolic #Respiratory
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