78 results
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
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
acidosis, decrease CO2 ... steroids & NMB • Respiratory ... lasting pain meds ... Diuresis — Dry lungs ... are happy lungs
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