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PLACO Mnemonic - Approach to Acid-Base Disorders P - Determine the pH L - Labs: PCO2 & HCO3 A
Approach to Acid-Base ... pH L - Labs: PCO2 ... AcidBase #Acid #Base
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2
Acid Base Disorders Worksheet Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
Acid Base Disorders ... CI-, HCO3-, PH, pCO2 ... 3: Look at the pCO2 ... . 3a: If pCO2 ... joshsteinbergMD #Acid #Base
Acid-Base Disorders - Expected Compensation Equations Metabolic Acidosis: • pCO2 = 1.5 x HCO3 + 8 ±
Acid-Base Disorders ... Acidosis: • pCO2 ... ∆ HCO3 ↓ 1 → ∆ pCO2 ... Alkalosis: • pCO2 ... ↓ 4 #Acid #Base
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
Acid Base Compensation ... variables (pH, HCO2, pCO2
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?
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
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid Base ... than expected based ... Generally, for acid/base ... and ~5 mmHg to pCO2 ... EmmGeezee #Acid #Base
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
Osmolar Gap ACID-BASE ... pCO2 = 1.5 (HCO3 ... ТНСО3 → TPCO2 pCO2 ... pk + log (HCO3/(PCO2 ... PaCO2)/HCO3 Acid base
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... Metabolic: pH pCO2 ... bloodgas #Acid #Base
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