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Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... Differentials? ... 35-45 mmHg • PaO2 ... ABG #bloodgas #Acid ... Base #Gas #VBG #differential
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
O2 is inspired) PAO2 ... reaches the alveoli) PaO2 ... Low SvO2 → Low PaO2 ... summary #pulmonary #differential ... #diagnosis #causes
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 ... /0.8)] - PaO2 Simplified ... /0.8)] - PaO2 Normal ... Hypoxia #hypoxemia #differential
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... - Differential ... Respiratory Acidosis (pCO2 ... AcidBase #Disorders #Differential ... Diagnosis #Algorithm #Causes
Acid Base Disorders Worksheet Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
Acid Base Disorders ... CI-, HCO3-, PH, pCO2 ... diagnoses using the differentials ... joshsteinbergMD #Acid ... Worksheet #diagnosis #differential
PLACO Mnemonic - Approach to Acid-Base Disorders P - Determine the pH L - Labs: PCO2 & HCO3 A
- Approach to Acid-Base ... pH L - Labs: PCO2 ... PLACO #AcidBase #Acid
Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
+ (↑ pH) • ↓ PCO2 ... tissue): • ↑ H+ (Acid ... ) • ↑ PCO2 •
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
vs Venous Blood Gases ... looks like (pH, PaCO2 ... Comparison #pH #pCO2
Drugs Causing Acute Pancreatitis Class Ia: The medications in which there was a rechallenge and other causes
rechallenge and other causes ... out other common causes ... Class II: Cases ... #Pancreatitis #Causes ... #Differential #
Causes of Hyperuricemia Increased production • Solid-organ transplant • Tumor lysis syndrome • Rhabdomyolysis • Lesch Nyhan
Causes of Hyperuricemia ... - nicotinic acid ... + uric acid • ... Hyperuricemia #Causes ... UricAcid #diagnosis #differential
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