66 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... 7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Classically” noted with pulmonary ... MDaniyalHashmi1 #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 ... Hypoxemia #summary #pulmonary
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
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
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 Normal ... Intracardiac, Pulmonary ... V/Q Mismatch: Pulmonary
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
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
→ ↓ → →↑ Pulmonary ... +2PDP)/3 Mean Pulmonary ... MPAP-WP)*79.92)/CO Pulmonary ... = 1.36 cmH20 PULMONARY ... age-corrected PAO2
Oxygen Saturation - Measurement Techniques and Limitations
 • Sp02 - Cutaneous pulse oximeter
 • SaO2 Calculated
pulse oximeter • SaO2 ... Point-of-care handheld ABG ... device • SaO2 ... #Measurement #pulmonary
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