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diagnosis differential management nephrology hematology causes evaluation metabolic endocrinology ddxof acidosis anemia respiratory pulmonary em peds acidbase disorders im pediatrics
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... nickmmark #acidbase #workup ... #algorithm #diagnosis ... #acidosis #alkalosis
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
Respiratory Acidosis + Alkalosis ... pH ↓ pCO2 ↓ ... ↑ - Metabolic alkalosis ... Respiratory alkalosis ... Compensation #acidosis #alkalosis
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
Index CARDIAC WORK ... RCWI Cardiac Work ... 0.0144 Cardiac Work ... Ventricular Stroke Work ... age-corrected PAO2
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Differential Diagnosis Algorithm ... • Metabolic Alkalosis ... • Respiratory Alkalosis ... (pCO2 < 35 mmHg ... Differential #Diagnosis #Algorithm
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Periodic paralysis Alkalosis ... Metabolic alkalosis ... #Differential #Algorithm ... Diagnosis #Causes #Workup
Blood Gas Analysis and Interpretation STEPS TO ANALYSIS 1. Look at PH. Alkalotic or acidotic?
Alkalotic or acidotic ... - If alkalotic, ... then it is an alkalosis ... - pCO2 (respiratory ... component) - alkalotic
Acid Base Disorders Worksheet Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
CI-, HCO3-, PH, pCO2 ... has a primary alkalosis ... . 3a: If pCO2 ... >40 patient's alkalosis ... is -Y patient's alkalosis
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
acidosis or an alkalosis ... Look at the pCO2 ... concomitant respiratory alkalosis ... need to do more work ... Metabolic #Acidosis #Alkalosis
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
more acidotic or alkalotic ... and ~5 mmHg to pCO2 ... • Metabolic Alkalosis ... • Respiratory Alkalosis ... Disorders #Evaluation #workup
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 ... Metabolic: pH pCO2 ... ↑ ↑ Metabolic alkalosis ... Acidosis ↑ ↓ Resp Alkalosis
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