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diagnosis management pulmonary acidosis causes nephrology workup alkalosis algorithm disorders interpretation respiratory acid base bloodgas hypoxia metabolic pathophysiology clinical comparison
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... ABG And BMP Normal ... 35-45 mmHg • PaO2 ... MDaniyalHashmi1 #AcidBase ... #differential
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
Arterial Blood Gas (ABG ... acidosis pH ↑ pCO2 ... alkalosis pH ↑ pCO2 ... Arterial #BloodGas #ABG ... Interpretation #AcidBase
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
O2 is inspired) PAO2 ... reaches the alveoli) PaO2 ... blood (measured on ABG ... Low SvO2 → Low PaO2 ... summary #pulmonary #differential
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
ABG vs VBG: Arterial ... Blood Gases ABG ... looks like (pH, PaCO2 ... serial exams #ABG ... Comparison #pH #pCO2
Arterial Blood Gas (ABG) Interpretation • AG/non-AG Metabolic Acidosis • AG Acidosis "Delta/Delta" • Metabolic Alkalosis
Arterial Blood Gas (ABG ... /non-AG Metabolic ... Acidosis • AG ... Arterial #BloodGas #ABG ... Interpretation #diagnosis #acidbase
What's in a Blood Gas? VBG vs ABG BOTTOM LINE: VBG is less painful, more easily obtained
VBG vs ABG BOTTOM ... LINE: VBG is less ... obtained than ABG ... EBM #Diagnosis #ABG ... Comparison #PH #PCO2
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 ... Respiratory Alkalosis (pCO2 ... < 35 mmHg) #AcidBase ... #Disorders #Differential
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... Look at the pCO2 ... the change in pCO2 ... MSc @AmyChung #AcidBase ... #ABG #Interpretation
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Evaluation and Differential ... Do you need an ABG ... and ~5 mmHg to pCO2 ... Differential Diagnosis ... Evaluation #workup #Differential
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