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diagnosis management differential nephrology acidosis algorithm pulmonary comparison pharmacology acidbase clinical pathophysiology table abg alkalosis interpretation respiratory bloodgas disorders dka
Crystalloid pH, Contents and Costs Compared Plasma pH 7.4 Normal Saline pH 5.5* Ringer’s Lactate pH 6.5 Plasmalyte A pH 6.5 Coca-cola pH
Crystalloid pH, ... Compared Plasma pH ... Normal Saline pH ... Ringer’s Lactate pH ... Plasmalyte A pH
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
+ Alkalosis pH ... Metabolic acidosis pH ... Metabolic alkalosis pH ... Respiratory alkalosis pH
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
NIV: • COPD - pH ... pCO2 < 6.5 or pH ... • Obesity - pH ... • Relative: pH ... <7.15 (pH <7.25
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Serum K, Urine pH ... Serum K, Urine pH ... Acidosis • Urine pH ... obstruction • Urine pH
What's in a Blood Gas? VBG vs ABG BOTTOM LINE: VBG is less painful, more easily obtained
obtained than ABG, pH ... Versus #Comparison #PH
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Algorithm Acidemia (pH ... mmHg) Alkalemia (pH
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
environment looks like (pH ... Correlation #Comparison #pH
Pathophysiology of Tumor Lysis Syndrome (TLS) Tumor Cell Lysis -> Release of DNA • Purines -> Hypoxanthine /
Nephropathy (low urine pH ... nephropathy (high urine pH
Blood Gas Analysis and Interpretation STEPS TO ANALYSIS 1. Look at PH. Alkalotic or acidotic?
Look at PH. ... component agrees with pH ... Whichever agrees with pH
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
UA with urine pH ... secretion • Urine pH ... absorption • Urine pH ... : • Urine pH
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