476 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... : pH pCO2 ↓ ... ↑ ↑ Metabolic ... MDaniyalHashmi1 #AcidBase
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -
ABG) Analysis - Metabolic ... ↓ - Metabolic acidosis ... pH ↑ pCO2 ↑ - ... Metabolic alkalosis ... 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 ... Low SvO2 → Low PaO2 ... Low SvO2 → Low PaO2 ... sepsis) - High PaO2
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
pH < 7.35) • Metabolic ... Respiratory Acidosis (pCO2 ... pH > 7.45) • Metabolic ... Respiratory Alkalosis (pCO2 ... < 35 mmHg) #AcidBase
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
variables (pH, HCO2, pCO2 ... Diagnosis #Nephro #AcidBase ... Acidosis #Alkalosis #Metabolic
Markers of Organ Dysfunction in Severe Sepsis 
Altered consciousness 
Confusion 
Psychosis 

Tachycardia 
Hypotension 
Altered CVP 
Altered
Altered CVP Altered PAOP ... Tachypnoea PaO2 ... <70mmHg SaO2 < ... 90% PaO2/FiO2 300%
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... • Salicylates Metabolic ... or Cushing’s) Metabolic ... MD @nickmmark #acidbase
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Look at the pCO2 ... Equal (If pCO2 ... the change in pCO2 ... calculate the expected pCO2 ... MSc @AmyChung #AcidBase
#Diagnosis #Nephro #AcidBase #Disorders #Acidosis #Alkalosis #Metabolic #Respiratory #Algorithm #Curbsiders
Diagnosis #Nephro #AcidBase ... Acidosis #Alkalosis #Metabolic
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
-PECO2))/PaCO2 ... age-corrected PAO2 ... /R) | Pa02 80- ... ))+(Pa02*0.0031) ... )-(CvO2) Pa02